Individual
DR. LORI BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1959 NE PACIFIC ST # NW120, BOX 357110, SEATTLE, WA 98195-7110
(617) 794-5928
Mailing address
1959 NE PACIFIC ST # NW120, BOX 357110, SEATTLE, WA 98195-7110
(617) 794-5928
Taxonomy
Speciality
Code
Description
License number
State
246QM0900X
Microbiology Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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