Lauren Christine Difolco

NPI #1619343191 in Bonney Lake, Washington

Provider Information

NPI Number: 1619343191
Entity Type: Individual
Name: Lauren Christine Difolco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 19, 2015
Last Updated: Aug 19, 2015

Practice Location

Address: 10920 199TH AVE. CT. E.
Address 2: BONNEY LAKE HS,
City: Bonney Lake
State: Washington
ZIP Code: 98391
Phone: (253) 891-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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