Organization
LAKE MERIDIAN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMA ABDIRAHMAN HAJI ALI ARNP (OWNER)
(253) 397-7135
Entity
Organization
Contact information
Practice address
200 AUBURN AVE STE 3, AUBURN, WA 98002-5015
(253) 397-7135
Mailing address
200 AUBURN AVE STE 3, AUBURN, WA 98002-5015
(253) 397-7135
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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