Individual
LORI LYN CARSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
216 W MAIN ST, GOLDENDALE, WA 98620-9587
(509) 773-5633
(509) 773-5844
Mailing address
1940 E COLLINS DR, GOLDENDALE, WA 98620-4205
(509) 261-1007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016361
WA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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