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NPI Code Detail

MEDICARE: LAURIE A. BELKNAP DO

MEDICARE: LAURIE A. BELKNAP DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOP60820737WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205877388
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE A. BELKNAP DO
Provider Business Mailing Address
First Line : PO BOX 5127
Second Line :
City : EVERETT
State : WA
Zip : 98206-5127
Country : US
Telephone Number : 206-860-5414
Fax Number : 206-720-8462
Provider Business Practice Location Address
First Line : 3130 ELLIS ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1904
Country : US
Telephone Number : 360-734-4404
Fax Number : 360-734-7409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/11/2025

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Directions to “ LAURIE A. BELKNAP DO” Practice Location

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