Individual
LAUREN ELIZABETH BONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11800 NE 128TH ST STE 450, KIRKLAND, WA 98034-7211
(425) 899-3376
(425) 899-4131
Mailing address
11800 NE 128TH ST STE 450, KIRKLAND, WA 98034-7211
(425) 899-3376
(425) 899-4131
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD61288641
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
05/14/2026
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