Individual
MS. LAUREL A DICKASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3920 CAPITOL MALL DR SW, STE 400, OLYMPIA, WA 98502-8700
(360) 705-1259
(360) 705-2757
Mailing address
3920 CAPITAL MALL DR SW, STE 400, OLYMPIA, WA 98502-8700
(360) 705-1259
(360) 705-2757
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00033356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8189011
—
WA
Enumeration date
10/14/2005
Last updated
03/07/2023
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