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Individual

LAURA CORWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
15906 MILL CREEK BLVD STE 105, MILL CREEK, WA 98012
(425) 385-2009
(425) 939-0807
Mailing address
15906 MILL CREEK BLVD STE 105, MILL CREEK, WA 98012-1797
(425) 385-2009

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005536
IL
363A00000X
Physician Assistant
Primary
PA60799617
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2093302
WA
Enumeration date
09/30/2015
Last updated
07/24/2018
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