Individual
ANA LOURDES P LAZARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N MEDCALF LN, MONTESANO, WA 98563-1318
(360) 249-2273
Mailing address
800 N MEDCALF LN, MONTESANO, WA 98563-1318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60301158
WA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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