Provider Demographics
NPI:1619313830
Name:LAUCKHART, EMILY CAROL
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CAROL
Last Name:LAUCKHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7619 220TH ST SW
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7973
Mailing Address - Country:US
Mailing Address - Phone:425-256-1844
Mailing Address - Fax:
Practice Address - Street 1:7619 220TH ST SW
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7973
Practice Address - Country:US
Practice Address - Phone:425-256-1844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula