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MR. ROBERT LACANFORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1600 E JEFFERSON ST, STE 510, SEATTLE, WA 98122-5698
(206) 320-4888
(206) 320-4203
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004857
WA

Other

Enumeration date
01/09/2006
Last updated
02/02/2016
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