Individual
LARA M DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22500 NE MARKETPLACE DR, SUITE 204, REDMOND, WA 98053-2033
(425) 836-1034
(425) 836-1037
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 330-0633
(425) 338-9637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007DO
REGENCE BLUE SHIELD
WA
01
—
0211090
DEPT. OF LABOR & INDUSTRY
WA
01
—
4460DO
REGENCE BLUE SHIELD
WA
01
—
5650DO
REGENCE/BS
WA
Enumeration date
11/30/2006
Last updated
10/10/2007
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