Lutricia Levette Cisco, RN is a
Counselor - Pastoral based in Olympia, Washington. Lutricia Levette Cisco is licensed to practice in Washington (license number ) and her current practice location is
400 Union Ave Se Ste 244, Olympia, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 918-7240.
NPI number for Lutricia Levette Cisco is 1245852524 and her current mailing address is 1617 Fones Rd Se Trlr 35, Olympia, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245852524.
Provider's Profile
| Full Name | Lutricia Levette Cisco |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Pastoral |
|---|
| Location | 400 Union Ave Se Ste 244, Olympia, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245852524
- Provider Enumeration Date: 05/10/2020
- Last Update Date: 05/10/2020
Medical Identifiers
Medical identifiers for Lutricia Levette Cisco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245852524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN60086332 (Washington) | Secondary |
| 101YP1600X | Counselor - Pastoral | (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lutricia Levette Cisco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lutricia Levette Cisco, RN
1617 Fones Rd Se Trlr 35,
Olympia, WA 98501-7408
Ph: (360) 999-1910 | Lutricia Levette Cisco, RN
400 Union Ave Se Ste 244,
Olympia, WA 98501-2060
Ph: (360) 918-7240 |
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