MEDICARE: LAURA ROKUSEK CAIN 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	207R00000X	Internal Medicine Physician	MD00026602	WA

General Provider Information

NPI Number	:	1629723291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ROKUSEK CAIN MD

Provider Business Mailing Address
First Line	:	6540 E REDMONT DR UNIT 20
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-1087
Country	:	US
Telephone Number	:	480-277-5574
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 E MCDOWELL RD BLDG 530
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-9797
Country	:	US
Telephone Number	:	206-291-3910
Fax Number	:

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

Provider Enumeration Date	:	02/13/2022
Last Update Date	:	02/13/2022

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Directions to “ LAURA ROKUSEK CAIN MD” Practice Location

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