Provider Demographics
NPI:1750417192
Name:EASTMAN, LAURA CHRISTINE (ND)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CHRISTINE
Last Name:EASTMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:CHRISTINE
Other - Last Name:WALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:105 NE 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3737
Mailing Address - Country:US
Mailing Address - Phone:206-257-5817
Mailing Address - Fax:206-257-5819
Practice Address - Street 1:105 NE 56TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3737
Practice Address - Country:US
Practice Address - Phone:206-257-5817
Practice Address - Fax:206-257-5819
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001440175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath