Individual
LAURIE L KREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 712-7900
(425) 712-7905
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080181371
RAILROAD MEDICARE
WA
05
—
8297731
—
WA
Enumeration date
06/22/2005
Last updated
02/13/2020
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