Individual
LAURI M BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2106
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00039831
WA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD00039831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230798
L&I
WA
05
—
1609090737
—
WA
Enumeration date
04/12/2007
Last updated
12/28/2011
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