Provider Demographics
NPI:1689834905
Name:DROPP, LISA S (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:S
Last Name:DROPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:A
Other - Last Name:GARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:123 BJUNE DR SE STE 101
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2459
Mailing Address - Country:US
Mailing Address - Phone:206-842-3222
Mailing Address - Fax:206-842-1877
Practice Address - Street 1:123 BJUNE DR SE STE 101
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2459
Practice Address - Country:US
Practice Address - Phone:206-842-3222
Practice Address - Fax:206-842-1877
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA133062208D00000X
390200000X
WAMD60170837208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program