| Doctor Name: | LAUREN WALL |
| NPI Number: | 1356786420 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | RN60334369 |
| Business Practice Address: | 54 View Ridge Ln Friday Harbor, WA - 982508868 |
| Business Phone Number: | 3603705991 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3206, FRIDAY HARBOR |
| State: | WA |
| Postal Code: | 982503206 |
| Phone Number: | 3603705991 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2013 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | RN60334369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |