Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olympic Dermatology & Laser Clinic

Organization Family Nurse Practitioner · NPI 1619121654

Olympic Dermatology & Laser Clinic is a Family Nurse Practitioner in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008

Practice location Address checks out

424 Lilly Rd NE
Olympia, WA 98506-5132
Phone: (360) 459-1700
Fax: (360) 459-0537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60046050 (WA)

Record details

NPI number1619121654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lennae Holm — Practice Administrator · (360) 459-1700
NPI enumeratedNovember 4, 2008
Last updated in NPPESNovember 4, 2008
Mailing address424 Lilly Rd Ne, Olympia, WA 98506-5132

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