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DR. LISA NICOLE FOMENOFF D.C.
NPI 1194735472
Chiropractor in Bellevue, WA

Active since August 09, 2006
14777 NE 40TH ST, SUITE 102, BELLEVUE, WA 98007(425) 883-2543(425) 867-1109 Get Directions Write a Review

NPPES record last updated: January 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Nicole Fomenoff D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA NICOLE FOMENOFF D.C. (NPI 1194735472) is an individual chiropractor in Bellevue, Washington, licensed in Washington (CH00034259) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1194735472
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. LISA NICOLE FOMENOFFCredential: D.C.
Location Address14777 NE 40TH ST, SUITE 102Bellevue, WA 98007-3300
Mailing Address14777 Ne 40th St, Suite 102Bellevue, WA 98007-3300 · (425) 883-2543 · Fax (425) 867-1109
Phone(425) 883-2543
Fax(425) 867-1109
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateJanuary 21, 2008
✔ NPI 1194735472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00034259
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
14777 NE 40TH ST, Bellevue, WA 98007
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Other Identifiers 1

Medicare PING8861020WA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VALARIE ANN KEATON LMP
Massage Therapist
14777 NE 40TH ST, #301
BELLEVUE, WA 98007
King County (425) 869-1534
DR. MICHAEL W DOWNEY D.C.
Chiropractor
14777 NE 40TH ST, SUITE 102
BELLEVUE, WA 98007
King County (425) 883-2543
DR. BRIAN KEITH O'NEILL D.C.
Chiropractor
14777 NE 40TH ST, SUITE 102
BELLEVUE, WA 98007
King County (425) 941-6502
DR. ASHLEY MARLENE ANTONOFF D.C.
Chiropractor
14777 NE 40TH ST, #102
BELLEVUE, WA 98007
King County (425) 883-2543
ASHLEY ANTONOFF, P.S.
Chiropractor
14777 NE 40TH ST, SUITE 102
BELLEVUE, WA 98007
King County (425) 883-2543
MARGARET M KANE PT
Physical Therapist
14777 NE 40TH ST, 207
BELLEVUE, WA 98007
King County (425) 883-0273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Fomenoff's NPI number?

The NPI number for Lisa Fomenoff is 1194735472. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Lisa Fomenoff located?

Lisa Fomenoff practices at 14777 NE 40th St Suite 102, Bellevue, WA 98007. The listed phone number is (425) 883-2543.

What is Lisa Fomenoff's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lisa Fomenoff was last updated on January 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.