Individual
LAURA WITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 PACIFIC AVE STE 209, TACOMA, WA 98402-4619
(253) 275-5467
Mailing address
1959 NE PACIFIC ST, BOX 356560, SEATTLE, WA 98195-6560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60972141
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
05/06/2022
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