Individual
MS. LEANNE D. TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 COLLEGE ST SE, PMG SW WA LACEY IMMEDIATE CARE, LACEY, WA 98503
(360) 486-2900
(360) 486-2901
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60683788
WA
Other
Enumeration date
11/21/2009
Last updated
02/04/2022
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