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LAURI M BURROUGHS MD

Physicians Pediatrics

Provider NPI: 1609090737

Provider Information:
 LAURI M BURROUGHS MD
Gender: F
Not Sole Proprietor

Practice Location:
4800 SAND POINT WAY NE  SEATTLE, WA 98105-3901 US
Tel: 206-987-2106  Fax: --

Business Mailing Address:
PO BOX 50095  SEATTLE, WA 98145-5095 US
Tel: 206-543-6420  Fax: --

NPI Information:
NPI: 1609090737
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XPhysicians
Pediatrics
WAMD00039831
Y2080P0207XPhysicians
Pediatrics
WAMD00039831

Other Provider Identifiers:

IssuerNumberStateType
L&I0230798WA01
1609090737WA05



American Medical Association 2012 taxonomy code information

Code: 2080P0207X

Type:

Classification:



Definition:



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