Individual
STACEY S LEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7101 W HOOD PL STE A101, KENNEWICK, WA 99336-6720
(509) 581-3100
(509) 436-1948
Mailing address
7101 W HOOD PL STE A101, KENNEWICK, WA 99336-6720
(509) 581-3100
(509) 436-1948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004052
WA
363AM0700X
Medical Physician Assistant
Primary
PA10004052
WA
Other
Enumeration date
02/15/2007
Last updated
03/31/2021
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