Individual provider · Type 1 NPI
Laurel A. Boulds-Fisk, LMP
Specialist · Renton, WA
NPI number
1043431539
Active
Practice location
1755 NE 48th St
Renton, WA 98056-9012
Mailing address
7030 121st Pl SE
Newcastle, WA 98056-1202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00007762 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1043431539
Laurel A. Boulds-Fisk, LMP's National Provider Identifier is 1043431539, issued on May 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Renton, WA. The record was last updated on Jul 8, 2007.