Individual
LAURA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
600 SW 39TH ST STE 150, RENTON, WA 98057-4911
(425) 690-3483
(425) 690-9083
Mailing address
660 SW 39TH ST STE 150, RENTON, WA 98057-4912
(425) 690-3483
(425) 690-9083
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125.073452
IL
207N00000X
Dermatology Physician
Primary
MD61271877
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2215247
—
WA
Enumeration date
03/29/2018
Last updated
11/11/2022
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