Individual
DR. LAUREL PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 606-7324
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60751683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801142872
—
WA
01
—
8968165
MEDICARE PIN
WA
Enumeration date
07/27/2012
Last updated
07/21/2022
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