Individual
LUPE CUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2209 N PEARL ST STE 100, TACOMA, WA 98406-2529
(253) 792-6900
Mailing address
2209 N PEARL ST STE 100, TACOMA, WA 98406-2529
(253) 792-6900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00049122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8503583
—
WA
01
—
MD00049122
MEDICAL LICENSE
WA
Enumeration date
04/23/2007
Last updated
02/28/2013
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