Individual
LAURA EICKELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1205 N 10TH ST, RENTON, WA 98057-5577
(425) 656-4211
(425) 656-4053
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60608532
WA
Other
Enumeration date
07/20/2014
Last updated
08/08/2016
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