Individual
LORENZA SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25120 43RD AVE S, KENT, WA 98032-4158
(253) 941-0947
Mailing address
12523 28TH AVE E, TACOMA, WA 98445-5022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60841644
WA
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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