Provider Demographics
NPI:1760729693
Name:PROCOPIO, LAUREN (ND)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PROCOPIO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3513 NE 45TH ST
Mailing Address - Street 2:SUITE 2 WEST
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5660
Mailing Address - Country:US
Mailing Address - Phone:206-535-7527
Mailing Address - Fax:
Practice Address - Street 1:3513 NE 45TH ST
Practice Address - Street 2:SUITE 2 WEST
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5660
Practice Address - Country:US
Practice Address - Phone:206-535-7527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60316367175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath