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Individual

LAURA ELIZABETH BAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-4971
Mailing address
8808 W 8TH AVE, SPOKANE, WA 99224-7800

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4961660
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/17/2021
Last updated
10/09/2024
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