Individual
MS. LAURIE ANN ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 SOUTH KITSAP BLVD, PORT ORCHARD, WA 98366
(360) 876-7215
(360) 876-6721
Mailing address
P.O. BOX 960, BREMERTON, WA 98337
(360) 478-2366
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101231163
VA
207Q00000X
Family Medicine Physician
Primary
MD00038319
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005626935
—
VA
Enumeration date
02/21/2006
Last updated
11/26/2008
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