Individual
JESSICA BURKE-LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60170725
WA
367A00000X
Advanced Practice Midwife
Primary
AP60390199
WA
Other
Enumeration date
07/05/2013
Last updated
06/06/2024
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