Loa Pitmon
Physician Assistant in Lacey, WA. Individual provider (NPI-1).
NPI number1003663576
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1003663576
- Entity type
- Individual (NPI-1)
- Name
- Loa Pitmon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
5643 46th Ln SeLacey, WA 98503
Phone 360-621-3802
Mailing address
5643 46th Ln SeLacey, WA 98503
Phone 360-621-3802
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All 18 Physician Assistant providers in Lacey · All 1,962 providers in Lacey
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