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Individual

LYSSA SPURGEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MPH, BSN, CEN

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 341-0294
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-3900
(253) 968-2252

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
61284767
WA
163WE0003X
Emergency Registered Nurse
Primary
583842
CA

Other

Enumeration date
04/27/2022
Last updated
05/11/2022
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