Healthcare Provider Details

I. General information

NPI: 1780065557
Provider Name (Legal Business Name): LAUREN D FELD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE STE 560
BELLEVUE WA
98004-4631
US

IV. Provider business mailing address

3209 S 23RD ST STE 200
TACOMA WA
98405-1602
US

V. Phone/Fax

Practice location:
  • Phone: 425-454-4768
  • Fax: 425-462-8021
Mailing address:
  • Phone: 253-272-5127
  • Fax: 253-404-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License NumberMD.MD.60948403
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD.MD.60948403
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number294936
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number294936
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: