Individual
LAILA F SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1708 EAST 44TH STREET, COMMUNITY HEALTH CARE, TACOMA, WA 98404
(253) 471-4553
(253) 474-5395
Mailing address
1019 PACIFIC AVENUE #300, COMMUNITY HEALTH CARE, TACOMA, WA 98402
(253) 722-1540
(253) 597-4556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60334135
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2010
Last updated
03/26/2015
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