Provider Demographics
NPI:1760949432
Name:LANCEFIELD, MARY PATRICIA
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:PATRICIA
Last Name:LANCEFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. ANTHONY HOSPITAL MS 53-50
Mailing Address - Street 2:11567 CANTERWOOD BLVD NW
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335
Mailing Address - Country:US
Mailing Address - Phone:253-722-3183
Mailing Address - Fax:
Practice Address - Street 1:CHI FRANCISCAN HEALTH SYSTE, MS 53-50
Practice Address - Street 2:11567 CANTERWOOD BLVD NW
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335
Practice Address - Country:US
Practice Address - Phone:253-722-3183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical