SearchWashington172V00000X

Lavonna Miesse

NPI 1841542172 · on the registry since 2012 · sole proprietor

Practice

Address
2708 Grandview Dr W
University Place, WA 98466
Phone
(253) 566-5620
Clinicians at this address
3

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-10

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