Individual
DR. LAURA KAY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C51639
CA
207Q00000X
Family Medicine Physician
Primary
C516390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C516390
—
CA
01
—
201188245
TRICARE WEST REGION
CA
01
—
610735200
FECA
CA
01
—
P00149731
RAILROAD MEDICARE
CA
Enumeration date
12/14/2005
Last updated
06/30/2017
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