Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 4301088055 | MI |
Y | 207P00000X | Emergency Physician | MD60271620 | WA |
N | 207PP0204X | Pediatric Emergency Physician | 4301088055 | MI |
NPI | 1013034685 |
---|---|
Provider Name | Dr. Lauren Kristen Whiteside |
First Address | Seattle, WA 98104-2420 |
Second Address | Seattle, WA 98104-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 13/08/2012 |