MS. Courtney Joanne Shepherd, LMP

NPI #1730419185 in Lacey, Washington

Provider Information

NPI Number: 1730419185
Entity Type: Individual
Name: MS. Courtney Joanne Shepherd, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jan 7, 2010
Last Updated: Jan 7, 2010

Practice Location

Address: 4444 LACEY BLVD SE STE E
City: Lacey
State: Washington
ZIP Code: 98503-5730
Phone: (360) 438-1998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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