Individual
MRS. LAURIE LYNNE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN00129637
Contact information
Practice address
4515 MARTIN LUTHER KING JR WAY S STE 100, SEATTLE, WA 98108-2183
(206) 760-6403
(206) 760-6339
Mailing address
4515 MARTIN LUTHER KING JR WAY S STE 100, SEATTLE, WA 98108-2183
(206) 760-6403
(206) 760-6339
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN00129637
WA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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