Lauri M Tadlock in Bellevue - Procedural Dermatology

Lauri M Tadlock - NPI 1225131865

Lauri M Tadlock is a Procedural Dermatology in Bellevue, Washington. Lauri M Tadlock practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Lauri M Tadlock is 1225131865. The last update date is 2010-06-28.

Lauri M Tadlock's current location address is 14030 Ne 24th St, Bellevue, Washington. You can contact this provider via phone number 4254541104 and fax number 4254541290. The mailing address for Lauri M Tadlock is 14030 Ne 24th St, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Lauri M Tadlock
Address 14030 Ne 24th St, Bellevue, Washington
Phone Number 4254541104
Fax Number 4254541290
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225131865
Provider Enumeration Date 2006-09-07
Last Updated Date 2010-06-28

Provider Mailing Address Detail

Address 14030 Ne 24th St
City Bellevue
State Washington (WA)
Post Code 98007
Phone Number 4254541104
Fax Number 4254541290

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No MD00021891
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1087154 WA --
TA0069 REGENCE
70007061 WA RAILROAD MEDICARE
4120050 AETNA
CN9262 WA RAILROAD MEDICARE
7080237 WA --

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FAQs about Lauri M Tadlock

What is the unique 10-digit identifier code issued to Lauri M Tadlock by the Centers for Medicare & Medicaid Services?

The Lauri M Tadlock has been assigned the NPI (National Provider Identifier) 1225131865 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Lauri M Tadlock is physically located?

The Lauri M Tadlock is situated at the following address: 14030 Ne 24Th St, Bellevue, WA 98007.

What is the Lauri M Tadlock's area of specialization and corresponding taxonomy classification?

The Lauri M Tadlock's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.

When was the Lauri M Tadlock's 1225131865 issued?

The Lauri M Tadlock's 1225131865 was issued on 2006-09-07.

When was the Lauri M Tadlock's information last updated?

The Lauri M Tadlock's information was last updated on 2010-06-28.

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