Laurel A Boulds-Fisk, LMP
NPI #1043431539 in Renton, Washington
Provider Information
- NPI Number
- 1043431539
- Entity Type
- Individual
- Name
- Laurel A Boulds-Fisk, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1755 NE 48TH ST
- City
- Renton
- State
- Washington
- ZIP Code
- 98056-9012
- Phone
- (206) 679-4832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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