Individual
JAMIE LEE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 489-8825
Mailing address
5829 123RD AVE SE, TENINO, WA 98589-9451
(360) 489-8825
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
08/02/2021
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