Individual
LANIEL A CUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-3000
(877) 515-2975
Mailing address
19221 36TH AVE W STE 201, LYNNWOOD, WA 98036-5700
(425) 774-9564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60904497
WA
Other
Enumeration date
12/16/2018
Last updated
10/03/2023
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