Individual
MRS. CAROL LAU OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP, ARNP
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1019
Mailing address
2256 S 308TH ST, FEDERAL WAY, WA 98003-4823
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP30003068
WA
Other
Enumeration date
04/15/2006
Last updated
07/12/2007
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