Individual
LARISSA R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
7525 CUSTER RD W, LAKEWOOD, WA 98499-8138
(253) 476-4327
Mailing address
7525 CUSTER RD W, LAKEWOOD, WA 98499-8138
(253) 476-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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