Individual
LAURA SHANNON SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, A-300 HEALTH SCIENCES CENTER, BOX 356340, SEATTLE, WA 98195-8306
(206) 543-7212
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60974823
WA
208M00000X
Hospitalist Physician
Primary
MD60974823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962936377
—
WA
Enumeration date
04/13/2017
Last updated
03/05/2020
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