Individual
DR. LAURIE MIDORI TAZUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4020 E MADISON ST, SUITE 240, SEATTLE, WA 98112-3149
(206) 322-0391
(206) 323-2077
Mailing address
4020 E MADISON ST, SUITE 240, SEATTLE, WA 98112-3149
(206) 322-0391
(206) 323-2077
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00018588
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157499
L&I PROVIDER NUMBER
WA
05
—
1982808
—
WA
Enumeration date
01/17/2007
Last updated
07/08/2007
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