Provider Demographics
NPI:1104921964
Name:JOSLIN-LESTER, LUANA A (ARNP)
Entity type:Individual
Prefix:
First Name:LUANA
Middle Name:A
Last Name:JOSLIN-LESTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LUANA
Other - Middle Name:VILLALOBOS
Other - Last Name:JOSLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:222 STATE AVE N
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-4544
Mailing Address - Country:US
Mailing Address - Phone:253-372-7866
Mailing Address - Fax:
Practice Address - Street 1:222 STATE AVE N
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4544
Practice Address - Country:US
Practice Address - Phone:253-372-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS51678Medicare UPIN