Individual
DR. LAUREN ELISE DEGOOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2402 S 1ST ST STE 108, YAKIMA, WA 98903-1646
(509) 731-4171
Mailing address
9104 W BARGE ST, YAKIMA, WA 98908-9542
(509) 833-8280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61442726
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
01/27/2024
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