Provider Demographics
NPI:1891091401
Name:DROLLMAN, LACHELLE NALIESE (NP)
Entity Type:Individual
Prefix:MRS
First Name:LACHELLE
Middle Name:NALIESE
Last Name:DROLLMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34612 6TH AVE S STE 210
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8723
Mailing Address - Country:US
Mailing Address - Phone:253-927-1882
Mailing Address - Fax:253-815-7718
Practice Address - Street 1:34612 6TH AVE S STE 210
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8723
Practice Address - Country:US
Practice Address - Phone:253-927-1882
Practice Address - Fax:253-815-7718
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP990031363LF0000X
WAAP60592387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily