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1144391145

NPI Code Detail

MEDICARE: LAURIE S. FOUSER MD

MEDICARE: LAURIE S. FOUSER MD

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
1	2080P0210X	Pediatric Nephrology Physician	MD00018433	WA
2	204F00000X	Transplant Surgery Physician	MD 00032085	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1144391145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE S. FOUSER MD

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	81425-0608
Country	:	US
Telephone Number	:	206-215-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 MADISON ST STE 800
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-1307
Country	:	US
Telephone Number	:	206-215-2700
Fax Number	:	206-215-2702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	05/18/2021

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Directions to “ LAURIE S. FOUSER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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