Individual
LUCAS GOMES MARQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11102 SUNRISE BLVD E STE 106, PUYALLUP, WA 98374-8846
(253) 848-8797
(253) 845-1114
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD.MD.70111860
WA
208000000X
Pediatrics Physician
MD.MD.70111860
WA
208000000X
Pediatrics Physician
Primary
ML61425568
WA
Other
Enumeration date
03/22/2023
Last updated
07/27/2026
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