Pending Account Requests

First Name: Lenore
Last Name: Blacksmith
Email: lenore.s.blacksmith@kp.org
Ordering Department Name: OLYMPIA MEDICAL CENTER
National Practicioner ID#: 1130113352262
National User ID: X877284
Street Address: 700 Lilly Rd NE
ZIP Code: Olympia
Office Phone: 800-422-2844
Status: Pending
Request Submitted: March 26, 2025 at 11:07 am