Provider Demographics
NPI:1780385567
Name:CRISTIANI, LAURA ELISABETH
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELISABETH
Last Name:CRISTIANI
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 1:34612 SE CARMICHAEL ST
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-9463
Mailing Address - Country:US
Mailing Address - Phone:408-877-4457
Mailing Address - Fax:
Practice Address - Street 1:34612 SE CARMICHAEL ST
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9463
Practice Address - Country:US
Practice Address - Phone:408-877-4457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN