Individual
ELIZABETH ANN JACKSON CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 S L ST, TACOMA, WA 98405-3799
(253) 403-7257
Mailing address
419 S L ST, TACOMA, WA 98405-3799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.MD.61441821
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
06/20/2023
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