Individual
LAURIE J. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
420 GOLF CLUB RD SE, SUITE 204, LACEY, WA 98503-1048
(360) 493-7469
Mailing address
PO BOX 1166, EVERETT, WA 98206-1166
(425) 258-7357
(425) 258-7022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006210
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8233256
—
WA
Enumeration date
10/16/2006
Last updated
07/08/2007
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