Individual
LUCAS MARK REYES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
29805 PACIFIC HWY S, FEDERAL WAY, WA 98003-4233
(253) 545-3770
Mailing address
220 TACOMA AVE S APT 1008, TACOMA, WA 98402-2511
(253) 545-3770
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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