Provider Demographics
NPI:1346509551
Name:CRAFT, LAURIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:CRAFT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 MERIDIAN AVE N
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6131
Mailing Address - Country:US
Mailing Address - Phone:206-724-6995
Mailing Address - Fax:
Practice Address - Street 1:5020 MERIDIAN AVE N
Practice Address - Street 2:SUITE 104
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6131
Practice Address - Country:US
Practice Address - Phone:206-724-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603058684374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula