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Individual

LORI A STARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 952-7971
(253) 944-7922
Mailing address
505 S 336TH STREET, STE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35087280
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0225601
LIWA
WA
05
2643296
OH
01
5476ST
BSWA
WA
01
5971ST
BSWA
WA
05
8491177
WA
01
9613ST
BSWA
WA
01
US9643128
AETNA PCP PIN VM
WA
Enumeration date
06/02/2006
Last updated
05/18/2008
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