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Individual

ELIZABETH BRONWYN LAGERQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-1093
Mailing address
6524 4TH AVE NW, SEATTLE, WA 98117-5006
(206) 251-9710

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1067731
WA

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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