Individual
LUCAS JAMES WESCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
2703 5TH ST, UNION GAP, WA 98903-1734
(208) 569-0263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60825533
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60825535
WA
Other
Enumeration date
02/17/2018
Last updated
04/09/2018
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