Individual
LUCAS JASON MATHEW KAWTOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1643
Mailing address
10236 31ST AVE SW, SEATTLE, WA 98146-1227
(814) 934-2567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60798106
WA
Other
Enumeration date
08/31/2017
Last updated
12/13/2018
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