Individual
LAURINE BURRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2874 SE LUND AVE, PORT ORCHARD, WA 98366
(360) 710-7595
Mailing address
2874 SE LUND AVE, PORT ORCHARD, WA 98366
(360) 710-7595
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00019642
WA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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