Individual
JUSTIN S LEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 441-4742
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 441-4742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61172666
WA
Other
Enumeration date
08/22/2019
Last updated
07/07/2022
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