Individual
BRUCE A BEAULAURIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12310 NE 8TH ST, SUITE 101, BELLEVUE, WA 98005-3185
(425) 455-0001
Mailing address
12310 NE 8TH ST, SUITE 101, BELLEVUE, WA 98005-3185
(425) 455-0001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1464
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030328
—
WA
Enumeration date
09/21/2005
Last updated
12/13/2007
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