Provider Demographics
NPI:1437817632
Name:LALAS, DAISY ABUTIN (NURSE CASE MANAGER)
Entity Type:Individual
Prefix:MISS
First Name:DAISY
Middle Name:ABUTIN
Last Name:LALAS
Suffix:
Gender:F
Credentials:NURSE CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16103 41ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-6725
Mailing Address - Country:US
Mailing Address - Phone:206-331-2312
Mailing Address - Fax:206-539-5713
Practice Address - Street 1:16103 41ST AVE NE
Practice Address - Street 2:
Practice Address - City:LAKE FOREST PARK
Practice Address - State:WA
Practice Address - Zip Code:98155-6725
Practice Address - Country:US
Practice Address - Phone:206-331-2312
Practice Address - Fax:206-539-5713
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00090507163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management