Lacey M Collins, LMP

NPI #1487064044 in Poulsbo, Washington

Provider Information

NPI Number: 1487064044
Entity Type: Individual
Name: Lacey M Collins, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: May 5, 2014
Last Updated: May 5, 2014

Practice Location

Address: 17012 PETERSON WAY NE
City: Poulsbo
State: Washington
ZIP Code: 98370-8706
Phone: (360) 930-2524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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