Individual
LAURA K ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2716 PACIFIC AVE SE, SUITE C, OLYMPIA, WA 98501-8803
(360) 438-1938
(360) 438-1938
Mailing address
3806 GOLDFINCH DR SE, LACEY, WA 98503-7126
(360) 438-1938
(360) 438-1938
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013387
WA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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