Individual
LAURA WEITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
310 31ST AVE SE, PUYALLUP, WA 98374-1232
(253) 770-6469
Mailing address
310 31ST AVE SE, PUYALLUP, WA 98374-1232
(253) 770-6469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3987
WA
Other
Enumeration date
10/16/2006
Last updated
02/11/2010
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