Olympic Dermatology & Laser Clinic
NPI 1619121654ActiveOrganization· Nurse Practitioner, Family· Olympia, WA
Nurse Practitioner, Family in Olympia, Washington, registered in NPPES in November 2008. The authorized official on file is Lennae Holm, Practice Administrator.
Overview
| NPI | 1619121654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2008 |
| Last updated in NPPES | Nov 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP60046050 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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