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LUTRICIA LEVETTE CISCO RN
NPI 1245852524
Counselor - Pastoral in Olympia, WA

Active since May 10, 2020
400 UNION AVE SE STE 244, OLYMPIA, WA 98501(360) 918-7240(360) 459-3705 Get Directions Write a Review

NPPES record last updated: May 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lutricia Levette Cisco Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUTRICIA LEVETTE CISCO RN (NPI 1245852524) is an individual pastoral provider in Olympia, Washington and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1245852524
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NameLUTRICIA LEVETTE CISCOCredential: RN
Location Address400 UNION AVE SE STE 244Olympia, WA 98501-2060
Mailing Address1617 Fones Rd Se Trlr 35Olympia, WA 98501-7408 · (360) 999-1910 · Fax (360) 459-3705
Phone(360) 918-7240
Fax(360) 459-3705
Sole ProprietorYes
Enumeration DateMay 10, 2020
NPPES CertifiedMay 10, 2020
✔ NPI 1245852524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN60086332 (WA)
400 UNION AVE SE STE 244, Olympia, WA 98501
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Other Names 1

Professional Name (2)Lutricia L Jackson Rn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lutricia Cisco's NPI number?

The NPI number for Lutricia Cisco is 1245852524. It was assigned to this individual provider in the NPPES registry on May 10, 2020. The provider is also known as Lutricia L Jackson Rn.

Where is Lutricia Cisco located?

Lutricia Cisco practices at 400 Union Ave SE Ste 244, Olympia, WA 98501. The listed phone number is (360) 918-7240.

What is Lutricia Cisco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Lutricia Cisco was last updated on May 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.