Individual
LAURA COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 ROAD 44, PASCO, WA 99301-2667
(509) 543-9820
(509) 545-6275
Mailing address
1608 ROAD 44, PASCO, WA 99301-2667
(509) 543-9820
(509) 545-6275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3749
SC
363A00000X
Physician Assistant
Primary
PA61114586
WA
Other
Enumeration date
10/15/2020
Last updated
03/11/2021
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