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Individual

LAUREN P FORESMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2709 HEMLOCK ST, BREMERTON, WA 98310-2623
(360) 782-6000
(253) 985-6879
Mailing address
2709 HEMLOCK ST, BREMERTON, WA 98310-2623
(360) 782-6000
(253) 985-6879

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA07597
TX
363A00000X
Physician Assistant
PA60408197
WA
363AM0700X
Medical Physician Assistant
Primary
PA60408197
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2034202
WA
Enumeration date
08/24/2011
Last updated
02/06/2024
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