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Individual

LANCE EDWARD PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3629 S D ST # 1119211, TACOMA, WA 98418-6813
(253) 798-6576
Mailing address
3629 S D ST # 1119211, TACOMA, WA 98418-6813
(253) 798-6576

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00046344
WA

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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