Individual
LORI LYNN LAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 LILLY RD NE STE 204, OLYMPIA, WA 98506
(360) 413-8250
Mailing address
500 LILLY RD NE STE 204, OLYMPIA, WA 98506-5197
(360) 413-8250
(360) 413-8830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
228109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000782812E
—
GA
05
—
013363400
—
FL
01
—
2606515
MEDICARE PTAN
NC
05
—
8053455
—
NC
Enumeration date
04/14/2006
Last updated
10/24/2019
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