Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | OP60309772 | WA |
NPI | 1801948583 |
---|---|
Provider Name | Dr. Jennifer W Cole |
First Address | Lakewood, WA 98499-3002 |
Second Address | Lakewood, WA 98499-3002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 05/03/2020 |