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Dr. Lauren Kathleen Fetty, MD
Diagnostic Radiology Physician in Port Angeles, Washington
NPI 1407268857

Lauren Kathleen Fetty is a Diagnostic Radiology Physician based in Lynnwood, WA and is specialized in Diagnostic Radiology. Lauren Kathleen Fetty practices in Port Angeles, WA and has the professional credentials of MD. The NPI Number for Lauren Kathleen Fetty is 1407268857 and holds a License No. 71514-20 (Washington).

The current practice location address for Lauren Kathleen Fetty is 939 Caroline St, Port Angeles, WA and can be reached out via phone at 360-565-9003 and via fax at 360-565-9001.

Location: 939 Caroline St, Port Angeles, WA, 98036-4748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407268857
Provider Name
Lauren Kathleen Fetty
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
939 Caroline St, Port Angeles, WA, 98036-4748
Phone Number
360-565-9003
Fax Number
360-565-9001
Provider Enumeration Date
05/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0427056 01 WA L&I-VANCOUVER RADIOLOGY
0426796 01 WA L&I-RADIA REST OF WA
0426800 01 WA L&I-EVERGREEN RADIA
2160014 05 WA
0426798 01 WA L&I-RADIA KING CTY
0426797 01 WA L&I-SWEDISH RADIA EDMONDS
0426804 01 WA L&I-SOUTH SOUND RADIOLOGY
0426805 01 WA L&I-SEATTE RADIOLOGY
institution
Provider Business Practice Location Address Details
Address
939 Caroline St
City
Port Angeles
State
Washington
Zip
98362-3909
Phone Number
360-565-9003
Fax Number
360-565-9001
person
Provider Business Mailing Address Details
Address
939 Caroline St
City
Port Angeles
State
Washington
Zip
98362-3909
Phone Number
360-565-9003
Fax Number
360-565-9001
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
71514-20 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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