Randall, Lorelei
Randall, Lorelei is an sole proprietor health care provider with primary practice located at 100 Ruby St Se Ste F , Tumwater WA 98501-6724. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Randall, Lorelei can be contacted via phone (360) 943-4797.Contact Information
Primary practice address
100 Ruby St Se Ste F
Tumwater WA 98501-6724
Phone: (360) 943-4797
Fax: (360) 709-0542
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MA00005271 | Washington |
Profile Details
NPI number | 1154536225 |
---|---|
LBN Legal business name | Randall, Lorelei |
Credentials | L.M.P. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154536225 | NPPES |
Washington | Other | 0073016 | LABOR & INDUSTRIES |
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