NPI 1053895219
Lacey a Kungas
Practice location
- Address
- 4324 N Jefferson St, Spokane, WA 99205-1209
- Phone
- (509) 315-8682
Registered specialties (2)
Technician
Primary
Behavior Technician
Registry record
- NPI
- 1053895219
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Sep 2018
- Record last updated
- 24 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.