Individual
DR. LAUREN KRISTEN WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-8464
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-8464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301088055
MI
207P00000X
Emergency Medicine Physician
Primary
MD60271620
WA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301088055
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301088055
MI
Other
Enumeration date
03/26/2007
Last updated
08/13/2012
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