Most Relevant Information
Provider Data
| NPI Number: | 1003384959 |
| Provider Name: | TARA LYNN CARLSON LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN60308738 |
Most Important Dates
| Enumeration Date: | 11/08/2018 |
| Last Updated: | 11/08/2018 |
Provider Practice Location
10344 14TH AVE S
SEATTLE
WA
981681689
Practice Location Phone/Fax
| Phone: | 2062451097 |
| Fax: |
Provider Mailing Location
10344 14TH AVE S
SEATTLE
WA
981681689
Provider Mailing Phone/Fax
| Phone: | 2062451097 |
| Fax: |