Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Monday, July 02, 2018

Organization Hematology (Internal Medicine) Physician · NPI 1902457211

Monday, July 02, 2018 is a Hematology (Internal Medicine) Physician in Olympia, Washington. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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Practice location Address checks out

3920 Capital Mall Dr SW Ste 100
Olympia, WA 98502-8701
Phone: (360) 345-1382
Fax: (360) 345-1382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X
Medical Oncology Physician Taxonomy 207RX0202X

Record details

NPI number1902457211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucio Gordan — Owner/President · (239) 274-8200
NPI enumeratedSeptember 27, 2019
Last updated in NPPESSeptember 27, 2019
Mailing address9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL 33905-7808

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