Individual
LEILANI R TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5225 CIRQUE DR W STE 200, UNIVERSITY PLACE, WA 98467-3639
(253) 848-3000
(253) 845-8750
Mailing address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 845-8750
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OP60387586
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030105
—
WA
Enumeration date
12/04/2009
Last updated
04/06/2018
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