Individual
MRS. LANI JO SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3629 S D ST # MS 1100, TACOMA, WA 98418-6813
(253) 255-8389
(253) 798-3522
Mailing address
3629 S D ST # MS 1100, TACOMA, WA 98418-6813
(253) 255-8389
(253) 798-3522
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00089372
WA
163WL0100X
Lactation Consultant (Registered Nurse)
RN00089372
WA
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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