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OLYMPIC DERMATOLOGY & LASER CLINIC
NPI 1619121654
Nurse Practitioner - Family in Olympia, WA

Active since November 04, 2008
424 LILLY RD NE, OLYMPIA, WA 98506(360) 459-1700(360) 459-0537 Get Directions Write a Review

NPPES record last updated: November 4, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Olympic Dermatology & Laser Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLYMPIC DERMATOLOGY & LASER CLINIC (NPI 1619121654) is a healthcare organization registered as a family in Olympia, Washington and active in the NPI registry since November 2008. The organization lists Lennae Holm, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1619121654
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOLYMPIC DERMATOLOGY & LASER CLINIC
Location Address424 LILLY RD NEOlympia, WA 98506-5132
Mailing Address424 Lilly Rd NeOlympia, WA 98506-5132 · (360) 459-1700 · Fax (360) 459-0537
Phone(360) 459-1700
Fax(360) 459-0537
Organization SubpartNo
Authorized OfficialLennae HolmPractice Administrator · (360) 459-1700
Enumeration DateNovember 4, 2008
✔ NPI 1619121654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60046050
424 LILLY RD NE, Olympia, WA 98506
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA GARRETT
Nurse Practitioner
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 459-1700
THOMAS L WINCKLER PA-C
Physician Assistant
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 459-1700
DR. JAMES L BRAZIL MD
Dermatology (Procedural Dermatology)
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 459-1700
YANG QU PA
Physician Assistant
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 459-1700
OLYMPIC DERMATOLOGY AND LASER CLINIC P S
Dermatology
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 459-1700
JENNIFER COZART PA-C
Physician Assistant
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 459-1700
LAWRENCE ALLAN ROBINSON PA
Physician Assistant
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 459-1700
PAIGE WORKMAN PA-C
Physician Assistant
424 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 292-1708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olympic Dermatology & Laser Clinic's NPI number?

The NPI number for Olympic Dermatology & Laser Clinic is 1619121654. It was assigned to this organization in the NPPES registry on November 4, 2008.

Where is Olympic Dermatology & Laser Clinic located?

Olympic Dermatology & Laser Clinic is located at 424 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 459-1700.

What is Olympic Dermatology & Laser Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Olympic Dermatology & Laser Clinic was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.