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LAPIS MEDICINE, PLLC

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Company Details

Legal Name: LAPIS MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 16th 2022
Expiration date: 31 Dec 2025
UBI Number: 605 009 616
ZIP code: 98405
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1010 S L ST STE B, TACOMA, WA, 98405-4366, UNITED STATES

Contact Details

E-Mail: ALLYSON@LAPISMEDICINE.COM
Phone Number: +1 253-301-1308

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAPIS FAMILY MEDICINE Registered Agent 1010 S L ST STE B, TACOMA, WA, 98405-4366, UNITED STATES

Key Officers & Management

Name Role Address
ALLYSON CAMPANELLI Executor 5165 BRISTONWOOD DR W, UNIVERSITY PL, WA, 98467-1324, UNITED STATES
MUA NGO Executor 101 DEL MONTE AVE, FIRCREST, WA, 98466-7206, UNITED STATES
ALLYSON CAMPANELLI Governing Person -
MUA NGO Governing Person -

National Provider Identifier

NPI Number:
1134831985
Certification Date:
2023-08-15

Authorized Person:

Name:
DR. ALLYSON KENDALL CAMPANELLI SPENCE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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