Individual
MRS. LARA MICHELLE BIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
422 N 1ST ST, SHELTON, WA 98584-3410
(360) 426-6325
(360) 426-8300
Mailing address
PO BOX 1975, SHELTON, WA 98584-5030
(360) 426-6325
(360) 426-8300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205636
DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
12/09/2008
Last updated
10/01/2009
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