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Individual

DR. GRACE ANNE LASKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.N., PH.D.

Contact information

Practice address
2015 151ST AVE SE, BELLEVUE, WA 98007
(425) 223-5275
(425) 223-5275
Mailing address
2015 151ST AVE SE, BELLEVUE, WA 98007
(425) 223-5275
(425) 223-5275

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU00002082
WA
133NN1002X
Nutrition Education Nutritionist
NU00002082
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NU00002082
WA DOH
WA
Enumeration date
09/15/2008
Last updated
09/15/2008
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