Mary Jane L Lacist
NPI #1821613951 in West Richland, Washington
Provider Information
- NPI Number
- 1821613951
- Entity Type
- Individual
- Name
- Mary Jane L Lacist
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 15, 2020
- Last Updated
- Jun 15, 2020
Practice Location
- Address
- 3950 KEENE RD
- City
- West Richland
- State
- Washington
- ZIP Code
- 99353-4901
- Phone
- (206) 412-5712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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