Healthcare Provider Details

I. General information

NPI: 1386369494
Provider Name (Legal Business Name): LAOCH MIDWIFERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E PIONEER STE 100
PUYALLUP WA
98372-3256
US

IV. Provider business mailing address

400 E PIONEER STE 100
PUYALLUP WA
98372-3256
US

V. Phone/Fax

Practice location:
  • Phone: 360-890-3101
  • Fax: 360-841-7753
Mailing address:
  • Phone: 360-890-3101
  • Fax: 360-841-7753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: NEVA GERKE
Title or Position: MIDWIFE AND OWNER
Credential: LM
Phone: 360-890-3101