Individual
LORA LEE CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-5947
(253) 838-6180
(253) 838-6418
Mailing address
20392 ALISTON LN, BURLINGTON, WA 98233-3540
(360) 708-4676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60476508
WA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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