Laura Jane Adair, LMP
Individual provider Active NPI Specialist · Issaquah, WA
NPI 1477614907 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1477614907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MA00016109 (WA)
- Practice address
- 1595 NW Gilman Blvd Ste 15
Issaquah, WA 98027-5329 - Phone
- (425) 391-3939
- Fax
- (425) 313-0198
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00016109 | WA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00016109 | WA | Yes |
Addresses
Primary practice location
1595 NW Gilman Blvd Ste 15
Issaquah, WA 98027-5329
Mailing address
70 E Sunset Way
#163
Issaquah, WA 98027-3813
Phone (425) 391-3939
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.