| Doctor Name: | LAURA KATHERINE RAYKOWSKI |
| NPI Number: | 1407924566 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30006830 |
| Business Practice Address: | 103 E Broadway Ave Hometown Family Health Montesano, WA - 985633703 |
| Business Phone Number: | 3602498528 |
| Business Fax Number: | 3602498541 |
| Mailing Address: | 103 E Broadway Ave, Hometown Family Health MONTESANO |
| State: | WA |
| Postal Code: | 985633703 |
| Phone Number: | 3602498528 |
| Fax Number: | 3602498541 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | AP30006830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |