Individual
LEA D COVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 S FIFE ST, TACOMA, WA 98409-7309
(253) 301-6400
Mailing address
315 MARTIN LUTHER KING JR WAY, MS: 3901-1-HH, TACOMA, WA 98405-4234
(253) 301-6400
(253) 301-6529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49472
WI
207Q00000X
Family Medicine Physician
Primary
MD60767737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34882300
—
WI
Enumeration date
07/14/2006
Last updated
06/21/2021
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