Individual
LAURA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
904 7TH AVE, 3RD FLOOR, SEATTLE, WA 98104-1132
(206) 860-4541
Mailing address
904 7TH AVE, 3RD FLOOR, SEATTLE, WA 98104-1132
(206) 860-4541
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
60568568
WA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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