Individual
MS. LISA RENEE LAURION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 471-2508
(360) 476-2580
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1898
(206) 849-9111
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
PA60193386
WA
363AM0700X
Medical Physician Assistant
Primary
PA.60193386
WA
Other
Enumeration date
11/01/2010
Last updated
11/30/2018
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