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 16 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 |
Popular Providers
-
Bauman, Carla J
626 120Th Ave Ne Ste B104 , Bellevue WA 98005-3077 -
Walsh, John Stuart
2330 130Th Ave Ne #201 , Bellevue WA 98005 -
Gogenola, Lawrence Joseph
1551 116Th Ave Ne , Bellevue WA 98004 -
Chien, Andy J
11511 Ne 10Th St , Bellevue WA 98004-8578 -
Garrie, Stuart
113 Cedar Crest Ln , Bellevue WA 98004-6725 -
Hughes, Elizabeth Chandler
626 120Th Ave Ne Ste B104, Bellevue WA 98005-3077 -
Sugai, Daniel Yoshio
1200 112Th Ave Ne Ste C187 , Bellevue WA 98004-3749 -
Gray, Deetta
1515 116Th Ave Ne Ste 307, Bellevue WA 98004-3811