Individual
LEASTER TRUSCLAIR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3629 S D ST # MS 1100, TACOMA, WA 98418-6813
(253) 798-3595
Mailing address
4717 N HUSON ST, TACOMA, WA 98407-4418
(253) 208-1886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00110931
WA
163WL0100X
Lactation Consultant (Registered Nurse)
L-83604
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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