Female

Lauren C. Difolco

Specialist in Bonney Lake, WA(View on Map)

Full Name

Lauren Christine Difolco

NPI Number

1619343191

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/19/2015

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

516288H

Contact
Information

Purpose

Mailing
Location

Address

1221 MOTTMAN RD SW APT D203
10920 199TH AVE. CT. E.

City

Tumwater
Bonney Lake

State

WA
WA

Postal Code

98512-6391
98391

Country

US
US

Telephone Number

(720) 425-4641
(253) 891-5700

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/19/2015

Provider Address

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