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Individual

BRIAN LANCASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1490
Mailing address
11801 226TH AVENUE CT E, BONNEY LAKE, WA 98391-7257

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN60128158
WA

Other

Enumeration date
09/11/2015
Last updated
09/11/2015
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