Individual
JESSICA LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
24080 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038-6851
(253) 372-7680
(253) 372-7681
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61324181
WA
Other
Enumeration date
04/21/2019
Last updated
09/04/2024
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