NPI 1558127928
Larry J Jordan, LPN
Practice location
- Address
- 15675 Ambaum Blvd SW, Burien, WA 98166-2523
- Phone
- (650) 283-1592
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1558127928
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Feb 2024
- Record last updated
- 26 Feb 2024
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.