Individual
LORENA CAULKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(267) 250-7895
Mailing address
4245 ROOSEVELT WAY NE # 354760, SEATTLE, WA 98105-6008
(206) 598-8750
(206) 598-4939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61081793
WA
207R00000X
Internal Medicine Physician
Primary
PG215911
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841797883
—
WA
Enumeration date
04/06/2018
Last updated
07/12/2023
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