Individual
LAUREL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60578926
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301100697
MI
Other
Enumeration date
06/19/2012
Last updated
06/26/2015
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