Individual
LORI J. MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00112335
WA
176B00000X
Midwife
Primary
AP30003982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9626714
—
WA
Enumeration date
12/28/2006
Last updated
09/14/2007
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