SearchWashington363AM0700X

Lazia Van Wieringen, PA-C

NPI 1871114645 · on the registry since 2020 · sole proprietor

Practice

Address
2320 Freeway Dr
Mount Vernon, WA 98273
Phone
(360) 428-2550
Fax
(360) 428-6402
Organisation at this address
Public Hospital Dist No 1 Skagit
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-30

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