Individual
DR. JACK V LOCASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2314 SW 336TH ST, FEDERAL WAY, WA 98023-2848
(253) 874-8125
(253) 874-8184
Mailing address
2314 SW 336TH ST, FEDERAL WAY, WA 98023-2848
(253) 874-8125
(253) 874-8184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021376
—
WA
Enumeration date
02/20/2007
Last updated
07/08/2007
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