Carly Lord

NPI #1427471226 in Poulsbo, Washington

Provider Information

NPI Number: 1427471226
Entity Type: Individual
Name: Carly Lord
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jan 29, 2014
Last Updated: Jan 29, 2014

Practice Location

Address: 19045 STATE HIGHWAY 305 NE STE 190
City: Poulsbo
State: Washington
ZIP Code: 98370-7312
Phone: (360) 697-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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