person
Nathan Daniel Lungstrom
Student in an Organized Health Care Education/Training Program in Puyallup, Washington
NPI 1265217533

Nathan Daniel Lungstrom is a Student in an Organized Health Care Education/Training Program based in Puyallup, WA. Nathan Daniel Lungstrom practices in Puyallup, WA. The NPI Number for Nathan Daniel Lungstrom is 1265217533 and holds a License No. (Washington).

The current practice location address for Nathan Daniel Lungstrom is 509 Valley Ave Ne Unit 10, Puyallup, WA and can be reached out via phone at 509-995-2084.

Location: 509 Valley Ave Ne Unit 10, Puyallup, WA, 98372-6965
person
Provider Profile Details
NPI Number
1265217533
Provider Name
Nathan Daniel Lungstrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
509 Valley Ave Ne Unit 10, Puyallup, WA, 98372-6965
Phone Number
509-995-2084
Fax Number
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
509 Valley Ave Ne Unit 10
City
State
Zip
98372-6965
Phone Number
509-995-2084
Fax Number
person
Provider Business Mailing Address Details
Address
509 Valley Ave Ne Unit 10
City
State
Zip
98372-6965
Phone Number
509-995-2084
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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