Individual
MS. LORI DEANN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3629 S. D. ST. MS 1099, TACOMA, WA 98418-6813
(253) 891-6158
(253) 891-6530
Mailing address
3629 S D ST # MS 1099, TACOMA, WA 98418-6813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00116990
WA
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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