Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD 00032085 | WA |
N | 2080P0210X | Pediatric Nephrologist | MD00018433 | WA |
NPI | 1144391145 |
---|---|
Provider Name | Laurie S. Fouser |
First Address | Salt Lake City, UT 81425-0608 |
Second Address | Seattle, WA 98104-1307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 18/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1144391145 | (05) | WA |