Individual
JONATHAN LAPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2215 N 30TH ST, TACOMA, WA 98403-3350
(253) 301-4534
(253) 302-3997
Mailing address
4323 57TH STREET CT E, TACOMA, WA 98443-2441
(253) 241-5774
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60892908
WA
363LP2300X
Primary Care Nurse Practitioner
AP60892908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116888
—
WA
Enumeration date
08/09/2018
Last updated
02/23/2023
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