Provider Demographics
NPI:1992125181
Name:LAMARCHE, KARYN
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:
Last Name:LAMARCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N CHAMBERS ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-3919
Mailing Address - Country:US
Mailing Address - Phone:360-417-7772
Mailing Address - Fax:360-417-7715
Practice Address - Street 1:321 N CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-3919
Practice Address - Country:US
Practice Address - Phone:360-417-7772
Practice Address - Fax:360-417-7715
Is Sole Proprietor?:No
Enumeration Date:2014-04-26
Last Update Date:2014-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPP60032997174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist