Individual
LASANA LANELL BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12720 C ST S APT E, TACOMA, WA 98444-1901
(321) 213-2281
Mailing address
12720 C ST S APT E, TACOMA, WA 98444-1901
(321) 213-2281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP50733694
WA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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