Individual
LAURIE M ANDERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12005 MERIDIAN E STE 101, PUYALLUP, WA 98373-3423
(253) 215-1095
(253) 215-1096
Mailing address
12005 MERIDIAN E STE 101, PUYALLUP, WA 98373-3423
(253) 215-1095
(253) 215-1096
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33567
WA
207P00000X
Emergency Medicine Physician
Primary
MD00033567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020173
—
WA
Enumeration date
10/02/2006
Last updated
11/12/2020
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