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Individual

LAURA J LENZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
60521601

Contact information

Practice address
2781 S 242ND ST, DES MOINES, WA 98198-5166
(206) 226-5672
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 226-5672

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
60521601
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152842010
HYGIENE DENTAL
WA
Enumeration date
06/08/2016
Last updated
06/08/2016
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