Individual
DR. LORALYNN ANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
710 S 348TH ST STE B, FEDERAL WAY, WA 98003-7042
(253) 878-5193
Mailing address
24233 SE 164TH ST, ISSAQUAH, WA 98027-8414
(206) 778-3015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60854654
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60866427
WA
Other
Enumeration date
09/23/2018
Last updated
04/24/2021
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