Healthcare Provider Details

I. General information

NPI: 1427974856
Provider Name (Legal Business Name): LAURA LANNETTE STARR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA LANNETTE ASBELL

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29717 225TH PL SE
BLACK DIAMOND WA
98010-1276
US

IV. Provider business mailing address

29717 225TH PL SE
BLACK DIAMOND WA
98010-1276
US

V. Phone/Fax

Practice location:
  • Phone: 253-263-5970
  • Fax: 253-735-6705
Mailing address:
  • Phone: 253-263-5970
  • Fax: 253-735-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: