Individual
COLETTE SUZANNE LESCANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1216 N ANDERSON ST, TACOMA, WA 98406-6908
(253) 752-9599
Mailing address
1216 N ANDERSON ST, TACOMA, WA 98406-6908
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW00000287
WA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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