Provider Demographics
NPI:1457575342
Name:HIEB, LAURA J (ND)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:HIEB
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 1:304 MAIN AVE S
Mailing Address - Street 2:STE 201
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057
Mailing Address - Country:US
Mailing Address - Phone:425-282-5304
Mailing Address - Fax:425-277-5164
Practice Address - Street 1:304 MAIN AVE S
Practice Address - Street 2:STE 201
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:425-282-5304
Practice Address - Fax:425-277-5164
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000919175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath