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Contact Information

LUTRICIA L CISCO, RN
400 UNION AVE SE STE 244
OLYMPIA, WA98501-2060
 Phone: 360-918-7240
 Fax: 360-459-3705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for LUTRICIA L CISCO · (Female)

NPI # 1245852524
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/10/2020
Last updated 05/10/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # RN60086332
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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