Laurie Fan is a Dentist in Seattle, Washington. Laurie Fan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Laurie Fan is 1952475238. The last update date is 2007-07-08.
Laurie Fan's current location address is 8012 17th Ave Ne, Seattle, Washington. You can contact this provider via phone number 2065236506. The mailing address for Laurie Fan is 8012 17th Ave Ne, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Fan |
|---|---|
| Address | 8012 17th Ave Ne, Seattle, Washington |
| Phone Number | 2065236506 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952475238 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8012 17th Ave Ne |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981154420 |
| Phone Number | 2065236506 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00005993 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5019591 | WA | -- |
Post Comment/ Review Below
What is the Laurie Fan's 1952475238?
The Laurie Fan's NPI (National Provider Identifier) Number is 1952475238. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Laurie Fan's facilities are geographically located?
The facilities of Laurie Fan are physically situated at the following location: 8012 17Th Ave Ne, Seattle, WA, 981154420.
What is Laurie Fan's area of expertise and its corresponding taxonomy classification?
The Laurie Fan's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1952475238 to Laurie Fan?
The Laurie Fan received its 1952475238 assignment from the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date were the details related to Laurie Fan most recently updated or revised?
The information pertaining to Laurie Fan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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