Individual
LAUREL HELENE DESNICK
Active
Individual
LAUREL HELENE DESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
620316
MT
207R00000X
Internal Medicine Physician
MD00036360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4575
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8247553
—
WA
Enumeration date
10/27/2006
Last updated
03/11/2014
Update your record
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