Most Relevant Information
Provider Data
| NPI Number: | 1003174343 |
| Provider Name: | TIFFANY LYNN BATTENFIELD LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | MA60258959 |
Most Important Dates
| Enumeration Date: | 04/24/2012 |
| Last Updated: | 04/29/2015 |
Provider Practice Location
1806 S LAKE STEVENS RD
UNIT A
LAKE STEVENS
WA
982587959
Practice Location Phone/Fax
| Phone: | 4253192376 |
| Fax: |
Provider Mailing Location
12412 16TH ST NE
LAKE STEVENS
WA
982587707
Provider Mailing Phone/Fax
| Phone: | 4253192376 |
| Fax: |