Individual
LAUREN KATE BALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
240 W FRONT ST, STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST, STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60502635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039586
—
WA
Enumeration date
10/13/2014
Last updated
02/17/2023
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