Provider Demographics
NPI:1154720894
Name:PEARSON, LUCIA EGBERT (ARNP, MPH)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:EGBERT
Last Name:PEARSON
Suffix:
Gender:F
Credentials:ARNP, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 CORNWALL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3649
Mailing Address - Country:US
Mailing Address - Phone:360-647-1900
Mailing Address - Fax:
Practice Address - Street 1:2101 CORNWALL AVE STE 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3649
Practice Address - Country:US
Practice Address - Phone:360-647-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60489246363LP2300X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health