Individual
HEIDI LENCIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4812
Mailing address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4812
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61216436
WA
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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