Fetty, Lauren Kathleen
Fetty, Lauren Kathleen is an individual health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3909. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Fetty, Lauren Kathleen can be contacted via phone (360) 565-9003.Contact Information
Primary practice address
939 Caroline St
Port Angeles WA 98362-3909
Phone: (360) 565-9003
Fax: (360) 565-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 71514-20 | Wisconsin |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD61038016 | Washington |
Profile Details
| NPI number | 1407268857 |
|---|---|
| LBN Legal business name | Fetty, Lauren Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2014 |
| Last updated | Dec 10th, 2020 - about 4 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 | 1407268857 | NPPES |
| Washington | Other | 0427056 | L&I-VANCOUVER RADIOLOGY |
| Washington | Other | 0426796 | L&I-VANCOUVER RADIOLOGY |
| Washington | Other | 0426800 | L&I-VANCOUVER RADIOLOGY |
| Washington | MEDICAID | 2160014 | L&I-VANCOUVER RADIOLOGY |
| Washington | Other | 0426798 | L&I-VANCOUVER RADIOLOGY |
| Washington | Other | 0426797 | L&I-VANCOUVER RADIOLOGY |
| Washington | Other | 0426804 | L&I-VANCOUVER RADIOLOGY |
| Washington | Other | 0426805 | L&I-VANCOUVER RADIOLOGY |
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