Individual
TINA LENORA LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2322 196TH ST SW # 100, LYNNWOOD, WA 98036-7010
(425) 984-0788
(425) 329-4640
Mailing address
1415 84TH ST SE UNIT 74, EVERETT, WA 98208-2113
(504) 942-6131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61475569
WA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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