Provider Demographics
NPI:1720164817
Name:LAZARTE, MARIA FE G (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA FE
Middle Name:G
Last Name:LAZARTE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:MRS
Other - First Name:FAYE
Other - Middle Name:
Other - Last Name:LAZARTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:2683 ARNOLD ST
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8716
Mailing Address - Country:US
Mailing Address - Phone:253-964-8301
Mailing Address - Fax:
Practice Address - Street 1:9600 VETERANS DR SW
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0003
Practice Address - Country:US
Practice Address - Phone:253-582-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00164032163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult