Individual
LAUREN LONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6004 WESTGATE BLVD STE 220, TACOMA, WA 98406-2503
(253) 759-4065
Mailing address
3204 97TH AVE E, EDGEWOOD, WA 98371-2020
(425) 220-4308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160234308
WA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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