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Individual

LORE R FRIEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00040527
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8318149
WA
Enumeration date
12/26/2006
Last updated
04/05/2021
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