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LISE ANDERHEGGEN-LEIF, ARNP, P.S.
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Company Details
Legal Name:
LISE ANDERHEGGEN-LEIF, ARNP, P.S.
Jurisdiction:
WASHINGTON
Entity Type:
WA PROFESSIONAL SERVICE CORPORATION
Category:
DOMESTIC ENTITY
Status:
Administratively Dissolved
Formation/ Registration Date:
September 9th 2005
Date of Dissolution:
January 2nd 2013
Expiration date:
30 Sep 2012
UBI Number:
602 537 976
ZIP code:
98105
City:
Seattle
County:
KING
Home State:
WASHINGTON
Principal Office Street Address:
5322 ROOSEVELT WAY NE, SEATTLE, WA, 98105, UNITED STATES
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Registered Agent Information
Name
Role
Address
LISE ANDERHEGGEN-LEIF
Registered Agent
6804 47TH AVE NE, SEATTLE, WA, 98115, UNITED STATES
Key Officers & Management
Name
Role
LISE ANDERHEGGEN-LEIF
Governing Person
National Provider Identifier
NPI Number:
1346423597
Link:
View on NPI website
Authorized Person:
Name:
LISE ANDERHEGGEN-LEIF
Role:
FAMILY NURSE PRACTITIONER
Phone:
2065258015
Taxonomy:
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes
Contacts:
Phone:
+1 206-525-8015
Fax:
2065258014
Related by address
5322 ROOSEVELT WAY NE, SEATTLE, WA, 98105, UNITED STATES
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