NPI 1932587870

Nathan Cory, LMP

Practitioner Contractor Lake Stevens, WA

Practice location

Address: 25 95th Dr NE #105, Lake Stevens, WA 98258
Phone: (425) 334-9137
Mailing address: 2031 119th Ave SE, Lake Stevens, WA 98258

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA 60434354 (WA)

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Registry record

NPI: 1932587870
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2015
Record last updated: 12 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.