Individual
AUDRIENNE E LAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDR
Contact information
Practice address
1019 PACIFIC AVE, EVERETT, WA 98201-4148
(425) 259-5195
(425) 258-9610
Mailing address
1019 PACIFIC AVE, EVERETT, WA 98201-4148
(425) 259-5195
(425) 258-9610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001935
WA
Other
Enumeration date
07/25/2007
Last updated
03/17/2018
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