Dickason, Laurel A

Dickason, Laurel A is an individual health care provider with primary practice located at 3920 Capitol Mall Dr Sw Ste 400, Olympia WA 98502-8700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dickason, Laurel A can be contacted via phone (360) 705-1259.

Contact Information

Primary practice address
3920 Capitol Mall Dr Sw Ste 400 Olympia WA 98502-8700
Fax: (360) 705-2757
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00033356 Washington

Profile Details

NPI number 1104815950
LBN Legal business name Dickason, Laurel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104815950 NPPES
Washington MEDICAID 8189011

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