NPI 1063607042

Lexus P Vang, LMP

Practitioner Mechanotherapist Vancouver, WA

Practice location

Address: 6202 NE Highway 99 Suite 4, Vancouver, WA 98665-8747
Phone: (360) 695-6055

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA00023681 (WA)

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Registry record

NPI: 1063607042
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2007
Record last updated: 12 Sep 2007

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.