Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA00013355 | WA |
NPI | 1376825240 |
---|---|
Provider Name | Lori Lynn Workman |
First Address | Camas, WA 98607-8678 |
Second Address | Camas, WA 98607-8678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2011 |
Last Update Date | 15/09/2011 |