Individual
MS. LINDSAY LIDIA NOURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1620 COOPER POINT RD SW, OLYMPIA, WA 98502-5736
(360) 486-6710
(360) 705-0269
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60208834
WA
Other
Enumeration date
12/07/2009
Last updated
06/18/2021
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