Organization
LORRAINE ROBERTSONMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE LOUISE ROBERTSON MD (OWNER)
(425) 985-6241
Entity
Organization
Contact information
Practice address
12520 SUNRISE DR NE, BAINBRIDGE ISLAND, WA 98110-4307
(425) 985-6241
(206) 201-3836
Mailing address
12520 SUNRISE DR NE, BAINBRIDGE ISLAND, WA 98110-4307
(425) 985-6241
(206) 201-3836
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300896
—
WA
01
—
AB35212
MEDICARE ID- UNSPECIFIED
WA
01
—
R04771
REGENCE RIDER #
WA
Enumeration date
06/07/2016
Last updated
06/07/2016
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