Simmons, Laura Grace

Simmons, Laura Grace is an individual health care provider with primary practice located at 1620 Lake Tapps Pkwy Se Ste 115 , Auburn WA 98092-8376. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Simmons, Laura Grace can be contacted via phone (253) 939-7179.

Contact Information

Primary practice address
1620 Lake Tapps Pkwy Se Ste 115 Auburn WA 98092-8376
Phone: (253) 939-7179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86119587
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2019039025 Missouri

Profile Details

NPI number 1003459280
LBN Legal business name Simmons, Laura Grace
Credentials MS, RDN, CD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Oct 13th, 2022 - about 3 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 1003459280 NPPES
Washington Other 61078483 WA STATE DOH

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