Provider Demographics
NPI:1588009898
Name:PRICE, LAUREN ASHLEIGH (LMP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHLEIGH
Last Name:PRICE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4323 EVANSTON AVE N
Mailing Address - Street 2:APT 402
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7278
Mailing Address - Country:US
Mailing Address - Phone:410-693-0019
Mailing Address - Fax:
Practice Address - Street 1:4323 EVANSTON AVE N
Practice Address - Street 2:APT 402
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7278
Practice Address - Country:US
Practice Address - Phone:410-693-0019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60363502225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist