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Individual

DR. LYDIA JUNE LASALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
916 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 336-5658
(360) 336-5658
Mailing address
916 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 336-5658
(360) 336-5655

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60796398
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2089045
WA
Enumeration date
08/09/2017
Last updated
05/21/2024
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