Jackson Lucy

NPI 1427809987 · on the registry since 2024

Practice

Address: 914 140th Ave Ne Ste 201
Bellevue, WA 98005
Phone: (855) 223-7123
Organisation at this address: Wallace W. Wong Dds
Yu Ong, Dmd, Mph, Pllc
Alicia K. Wong, Dmd, Mph, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 220

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-13

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