Individual
LYNE C LIBOIRON-BOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24080 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038-6851
(253) 372-7680
Mailing address
12425 16TH ST E, EDGEWOOD, WA 98372-1687
(512) 300-7346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61489910
WA
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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