Individual
LAURA O REKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
945 GOETHALS DR, SUITE 200, RICHLAND, WA 99352-3552
(509) 942-6327
(509) 946-0707
Mailing address
945 GOETHALS DR, SUITE 200, RICHLAND, WA 99352-3552
(509) 942-3627
(509) 946-0707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA10003903
WA
363AS0400X
Surgical Physician Assistant
Primary
AP10003903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8349094
—
WA
Enumeration date
06/09/2006
Last updated
12/14/2010
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