Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH 00002927 | WA |
NPI | 1609143387 |
---|---|
Provider Name | Dr. Laurie Jean Mcquaig |
First Address | Seattle, WA 98125-4865 |
Second Address | Seattle, WA 98125-4865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2011 |
Last Update Date | 22/11/2011 |