Individual
DR. LAINE MARIE GAWTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12910 TOTEM LAKE BLVD NE, SUITE 101, KIRKLAND, WA 98034-2954
(425) 814-5000
Mailing address
12910 TOTEM LAKE BLVD NE, SUITE 101, KIRKLAND, WA 98034-2954
(425) 814-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL27160
SC
207R00000X
Internal Medicine Physician
Primary
MD60074830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8554024
—
WA
Enumeration date
10/12/2006
Last updated
05/19/2021
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