Andersen, Kelli Jolaine Lawson
Andersen, Kelli Jolaine Lawson is an individual health care provider with primary practice located at 2525 Ne 139Th St Ste 270 , Vancouver WA 98686-2719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Andersen, Kelli Jolaine Lawson can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
2525 Ne 139Th St Ste 270
Vancouver WA 98686-2719
Phone: (360) 882-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD171276 | Oregon |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60557171 | Washington |
Profile Details
| NPI number | 1508152026 |
|---|---|
| LBN Legal business name | Andersen, Kelli Jolaine Lawson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2011 |
| Last updated | Dec 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508152026 | NPPES |
| Washington | MEDICAID | 2085789 |
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