Individual
LAURIE T SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 LILLY RD NE, STE 200, OLYMPIA, WA 98506-5117
(360) 413-8413
(360) 413-8879
Mailing address
PO BOX 1008, OLYMPIA, WA 98507-1008
(360) 413-8413
(360) 413-8879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00027756
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8119380
—
WA
01
—
8854432
MEDICARE ID
WA
Enumeration date
01/25/2007
Last updated
11/16/2022
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