Individual
LAUREN LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 23RD AVE SE, PUYALLUP, WA 98372-4659
(253) 292-9088
Mailing address
2002 LAFAYETTE ST, UNIT 2, STEILACOOM, WA 98388-1351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60441402
WA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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