Provider Demographics
NPI:1649844135
Name:FORT, LUCY (INTERPRETER)
Entity type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:
Last Name:FORT
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2866
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99302-2866
Mailing Address - Country:US
Mailing Address - Phone:509-430-2787
Mailing Address - Fax:509-412-1525
Practice Address - Street 1:1004 ROAD 60
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-2109
Practice Address - Country:US
Practice Address - Phone:509-430-2787
Practice Address - Fax:509-412-1525
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0049556171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA171R00000XOtherINTERPRETER