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Individual

MRS. LINDSAY MAURIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-2986
(253) 403-1717
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-2986
(253) 403-1717

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA60466162
WA
363A00000X
Physician Assistant
Primary
PA10005329
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8499386
WA
Enumeration date
10/26/2007
Last updated
10/03/2019
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