Diem, Laurie Lynne

Diem, Laurie Lynne is an individual health care provider with primary practice located at 751 Ne Blakely Dr Ste 5010, Issaquah WA 98029-6201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Diem, Laurie Lynne can be contacted via phone (425) 394-0700.

Contact Information

Primary practice address
751 Ne Blakely Dr Ste 5010 Issaquah WA 98029-6201
Fax: (425) 394-0701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A7699 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OP60270441 Washington

Profile Details

NPI number 1881662161
LBN Legal business name Diem, Laurie Lynne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 13th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881662161 NPPES
California MEDICAID 00AX76990

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