Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01079581A | IN |
N | 111NI0900X | Internist | 01079581A | IN |
Y | 207R00000X | Internist | MD60854836 | WA |
Y | 111NI0900X | Internist | MD60854836 | WA |
NPI | 1003176207 |
---|---|
Provider Name | Miss Tui Agaapapalagi Lauilefue |
First Address | Marion, IN 46952-2600 |
Second Address | Olympia, WA 98502-8701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2012 |
Last Update Date | 27/12/2019 |