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LAURI M TADLOCK MD NPI 1225131865


NPI Information

NPI: 1225131865
Provider Name: LAURI M TADLOCK, MD
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14030 NE 24TH ST
SUITE 202
BELLEVUE, WA
ZIP 98007
Phone: (425) 454-1104
Get Directions

Lauri M Tadlock, MD is a dermatology in Bellevue, WA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Lauri M Tadlock, MD NPI is 1225131865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14030 NE 24TH ST
SUITE 202
BELLEVUE, WA
ZIP 98007
Phone: (425) 454-1104
Fax: (425) 454-1290

The NPI 1225131865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 6/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyMD00021891WASHINGTONNo
2207NP0225XDermatologyPediatric DermatologyMD00021891WASHINGTONNo
3207N00000XDermatologyMD00021891WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14120050OTHERAETNA
2217000083MEDICARE ID-TYPE UNSPECIFIED
3CN9262OTHERWASHINGTONRAILROAD MEDICARE
4217127600MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
51087154MEDICAIDWASHINGTON
6070007061OTHERWASHINGTONRAILROAD MEDICARE
7TA0069OTHERREGENCE
87080237MEDICAIDWASHINGTON
9A06461MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.