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General NPI Number Information
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NPI Number | 1922395359
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Entity Type | Individual
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Provider Name | LAURA C LOUTHAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | PO BOX 368
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City | OLYMPIA
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State | WA
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Zip | 98507-0368
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Country | US
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Telephone | 360-861-4091
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Fax | 360-493-0407
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Provider Business Mailing Address
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Address Line | PO BOX 368
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City | OLYMPIA
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State | WA
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Zip | 98507-0368
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Country | US
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Telephone | 360-861-4091
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Fax | 360-493-0407
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10001385A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 029377-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | PA70008286
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License Number State | WA
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