Individual
AMBER LACEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
615 8TH ST, HOQUIAM, WA 98550-3522
(360) 532-4357
(360) 538-0124
Mailing address
921 14TH AVE, LONGVIEW, WA 98632-2316
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00055649
WA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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