Individual provider · Type 1 NPI
Lauren Christine Difolco
Specialist · Bonney Lake, WA
NPI number
1619343191
Active
Practice location
10920 199th Ave. Ct. E., Bonney Lake Hs,
Bonney Lake, WA 98391
Mailing address
1221 Mottman Rd SW Apt D203
Tumwater, WA 98512-6391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 516288H (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 1619343191
Lauren Christine Difolco's National Provider Identifier is 1619343191, issued on Aug 19, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bonney Lake, WA. The record was last updated on Aug 19, 2015.