Lacee Mallard

NPI #1467091645 in Issaquah, Washington

Provider Information

NPI Number: 1467091645
Entity Type: Individual
Name: Lacee Mallard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Naturopath
Enumeration Date: Jan 5, 2020
Last Updated: Jan 5, 2020

Practice Location

Address: 26015 SE 159TH PL
City: Issaquah
State: Washington
ZIP Code: 98027-8234
Phone: (801) 414-5738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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