Individual
LAURA LYNN HANIFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
401 E FRONT ST, PORT ANGELES, WA 98362-3113
(360) 565-1199
(360) 565-1166
Mailing address
401 E FRONT ST, PORT ANGELES, WA 98362-3113
(360) 565-1199
(360) 565-1166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00009001
WA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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