Tadlock, Lauri M
Tadlock, Lauri M is an individual health care provider with primary practice located at 14030 Ne 24Th St Suite 202, Bellevue WA 98007. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Tadlock, Lauri M can be contacted via phone (425) 454-1104.Contact Information
Primary practice address
14030 Ne 24Th St Suite 202
Bellevue WA 98007
Phone: (425) 454-1104
Fax: (425) 454-1290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00021891 | Washington |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD00021891 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | MD00021891 | Washington |
Profile Details
| NPI number | 1225131865 |
|---|---|
| LBN Legal business name | Tadlock, Lauri M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jun 28th, 2010 - about 15 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 | 1225131865 | NPPES |
| Washington | MEDICAID | 1087154 | |
| Washington | Other | TA0069 | |
| Washington | Other | 070007061 | |
| Washington | Other | 4120050 | |
| Washington | Other | CN9262 | |
| Washington | MEDICAID | 7080237 |
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