Individual
STACY ELIZABETH LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 NE 87TH AVE STE 280, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1785
Mailing address
8649 MARTIN WAY E, LACEY, WA 98516-5812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60739505
WA
Other
Enumeration date
10/27/2016
Last updated
10/02/2023
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