Individual
DR. LAECIO LACERDA ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9710 STATE AVE, MARYSVILLE, WA 98270-2232
(360) 531-7423
(360) 512-2026
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD61615434
WA
207VX0000X
Obstetrics Physician
MD61615434
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
08/11/2025
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