Individual
LAURA HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MEYERS ST, KETTLE FALLS, WA 99141-6012
(509) 690-7760
Mailing address
125 S MEYERS ST, KETTLE FALLS, WA 99141-6012
(509) 690-7760
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP00044975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP000044975
LPN LICENSE
WA
Enumeration date
12/13/2019
Last updated
12/13/2019
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