John Leraas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00013748 Issued in WA

Practice address

8617 Martin Way E
Suite 101
Lacey, WA 98516-5805

Phone

(360) 456-4959

Fax

(360) 456-2171

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1295836815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 MARTIN WAY E",
            "address_2": "SUITE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165805",
            "telephone_number": "360-456-4959",
            "fax_number": "360-456-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 MARTIN WAY E",
            "address_2": "SUITE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165805",
            "telephone_number": "360-456-4959",
            "fax_number": "360-456-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERAAS",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00013748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Q Lei, D.M.D.
• Cody Leigh, LMT
• Will Leighty, MD
• Garrett Ryan Leonard
• Marianella Leone
• Helen Leung, PHARMD
• Leva Incorporated
• Erin Levesque, RN
• S Levy, MED, MSW
• Sheila Lewallen

• Family Medicine Physician in Lacey, WA
• Providers in Lacey, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.