Individual
LAUREL A MITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
625 4TH AVE, SUITE 303, KIRKLAND, WA 98033-9028
(425) 890-4421
(425) 216-7283
Mailing address
PO BOX 2130, KIRKLAND, WA 98083-2130
(425) 890-4421
(425) 216-7283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI5423
REGENCE BLUE SHIELD
WA
Enumeration date
12/20/2007
Last updated
12/20/2007
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