Provider Demographics
NPI:1386408896
Name:MARASIGAN, LAUREN ASHLEY (CPM, MSM)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHLEY
Last Name:MARASIGAN
Suffix:
Gender:F
Credentials:CPM, MSM
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:MARASIGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2533 S 288TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8028
Mailing Address - Country:US
Mailing Address - Phone:818-280-7168
Mailing Address - Fax:
Practice Address - Street 1:18208 66TH AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-7949
Practice Address - Country:US
Practice Address - Phone:425-286-0466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife