| Mary Jane L Lacist, | |
|
3950 Keene Rd, West Richland, WA 99353-4901 | |
| (206) 412-5712 | |
| Not Available |
| Full Name | Mary Jane L Lacist |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3950 Keene Rd, West Richland, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821613951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 61050405 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jane L Lacist, 3950 Keene Rd, West Richland, WA 99353-4901 Ph: (206) 412-5712 | Mary Jane L Lacist, 3950 Keene Rd, West Richland, WA 99353-4901 Ph: (206) 412-5712 |
Katherine Schwartz Slettvet, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3950 Keene Rd, West Richland, WA 99353 Phone: 509-942-3130 Fax: 509-628-8335 | |
Nicole Maree Petersen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3950 Keene Rd, West Richland, WA 99353 Phone: 509-942-3130 Fax: 509-628-8335 | |
William Ruzicka, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3950 Keene Rd, West Richland, WA 99353 Phone: 509-942-3130 Fax: 509-628-8335 |