NPI Profile for Dr LORI BOURASSA in SEATTLE, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Microbiology |
246QM0900X |
| NPI Number | 1114334836 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 07/15/2014 | |
| Last updated | 07/15/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LORI BOURASSA
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