Individual
PAUL JAMES LACKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AACR
Contact information
Practice address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 396-5800
Mailing address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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