Individual
LAUREN YUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3800 3RD ST SE, PUYALLUP, WA 98374-1109
(253) 200-0415
(253) 845-4742
Mailing address
PO BOX 39680, LAKEWOOD, WA 98496-3680
(253) 200-0415
(253) 845-4742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00058964
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001900
—
WA
01
—
G8888029
MEDICARE NSC
WA
Enumeration date
08/15/2018
Last updated
08/15/2018
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