De Guzman, Victor Lao
De Guzman, Victor Lao is an individual health care provider with primary practice located at 1717 S J St , Tacoma WA 98405-4933. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. De Guzman, Victor Lao can be contacted via phone (253) 426-6341.Contact Information
Primary practice address
1717 S J St
Tacoma WA 98405-4933
Phone: (253) 426-6341
Fax: (253) 761-1040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60951857 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP138293 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP60951857 | Washington |
Profile Details
| NPI number | 1497234884 |
|---|---|
| LBN Legal business name | De Guzman, Victor Lao |
| Credentials | AGACNP-BC, ACNPC-AG |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2018 |
| Last updated | Dec 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497234884 | NPPES |
| Washington | MEDICAID | 2138777 |
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