IndividualActive
Brent Packer, M.D.
NPI 1902959018 · General Practice Physician · Lacey, WA
Provider details
- NPI number
- 1902959018
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00033748 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4220 Ingleside Dr Se
Lacey, WA 98503-2108
Phone: (360) 456-3429
Approximate (ZIP-level) locationGet directions
Mailing address
4220 Ingleside Dr Se
Lacey, WA 98503-2108
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.