Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD60961321 | WA |
NPI | 1679863021 |
---|---|
Provider Name | Dr. Lauren Anneliese Engelmann |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Edmonds, WA 98026-7512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 13/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1679863021 | (05) | WA |