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
Fax: (360) 709-0542
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154536225 NPPES
Washington Other 0073016 LABOR & INDUSTRIES

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