Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 60819562 | WA |
NPI | 1104176601 |
---|---|
Provider Name | Lauren Strain |
First Address | Vashon, WA 98070-3332 |
Second Address | Vashon, WA 98070-3332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2012 |
Last Update Date | 22/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2099476 | (05) | WA |