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

TaxonomyCodeLicense
Specialist Primary 174400000XMA00007762 (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.