MEDICARE: LAURIE BETH WESTON M.D.

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	2084P0800X	Psychiatry Physician	196726	AZ
2	2084P0800X	Psychiatry Physician	MD60078076	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	:	1982788121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE BETH WESTON M.D.

Provider Business Mailing Address
First Line	:	2608 KWINA RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9291
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 KWINA RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9291
Country	:	US
Telephone Number	:	425-640-7009
Fax Number	:

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	10/29/2024

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