Individual
LUCAS P. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3024
(253) 985-6134
(253) 627-6576
Mailing address
11307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3024
(253) 985-6134
(253) 627-6576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.300403
LA
363A00000X
Physician Assistant
Primary
PA60894029
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111758
—
WA
Enumeration date
11/17/2015
Last updated
12/09/2020
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