Search › Washington › 225700000X
Lacey Jordan
NPI 1598292237 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4581 Wallbridge Rd
Clayton, WA 99110 - Phone
- (509) 863-3839
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington