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Individual

LORRIE KAY WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, LAC

Contact information

Practice address
2319 N 45TH ST, SUITE #201, SEATTLE, WA 98103-6982
(206) 436-9772
Mailing address
PO BOX 31927, SEATTLE, WA 98103-0027
(206) 436-9772

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC60134530
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30001964
WA

Other

Enumeration date
10/03/2006
Last updated
12/11/2015
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