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Individual

MATTHEW TIMOTHY JAMES LUCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
812 OCEAN BEACH HWY STE 200, LONGVIEW, WA 98632-4082
(360) 636-6900
Mailing address
23709A NE 50TH AVE, BATTLE GROUND, WA 98604-4070
(360) 901-9788

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN60002190
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60911371
WA

Other

Enumeration date
09/01/2017
Last updated
07/21/2022
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