Individual
LAUREN MARIE WANCATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
(206) 625-7245
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
(206) 625-7245
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD61110418
WA
208600000X
Surgery Physician
MD187749
OR
208600000X
Surgery Physician
Primary
MD61110418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173246
—
WA
Enumeration date
07/05/2011
Last updated
09/27/2024
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