Individual
LAURA M YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 493-4450
(360) 493-4455
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040968
WA
Other
Enumeration date
05/26/2006
Last updated
10/09/2018
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