Healthcare Provider Details

I. General information

NPI: 1801606520
Provider Name (Legal Business Name): LAUREN L KEISER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 GOETHALS DR STE 300
RICHLAND WA
99352-3552
US

IV. Provider business mailing address

945 GOETHALS DR STE 300
RICHLAND WA
99352-3552
US

V. Phone/Fax

Practice location:
  • Phone: 509-943-3196
  • Fax: 509-946-0455
Mailing address:
  • Phone: 509-943-3196
  • Fax: 509-946-0455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA61653385
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: