Healthcare Provider Details

I. General information

NPI: 1275842866
Provider Name (Legal Business Name): NATALIE SARA LENCIONI CLVT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 VETERANS DR
TACOMA WA
98493-0001
US

IV. Provider business mailing address

9600 VETERANS DR
TACOMA WA
98493-0001
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-1229
  • Fax: 253-589-4112
Mailing address:
  • Phone: 253-583-1229
  • Fax: 253-589-4112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: