Lazia Van Wieringen, PA-C
NPI #1871114645 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1871114645
- Entity Type
- Individual
- Name
- Lazia Van Wieringen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- May 2, 2020
- Last Updated
- Dec 30, 2024
Practice Location
- Address
- 2320 FREEWAY DR
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-5445
- Phone
- (360) 428-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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