Individual
DR. LAURA ELLEN MYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4515 MARTIN LUTHER KING JR WAY SOUTH, SEATTLE, WA 98108-2174
(206) 320-5325
(206) 320-5326
Mailing address
4515 MARTIN LUTHER KING JR. WAY SOUTH, SEATTLE, WA 98108-2174
(206) 320-5325
(206) 320-5326
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD00041878
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8373037
—
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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