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Lara Jean Wilson
Family Medicine Physician in Auburn, Washington
NPI 1780188771

Lara Jean Wilson is a Family Medicine Physician based in Renton, WA. Lara Jean Wilson practices in Auburn, WA. The NPI Number for Lara Jean Wilson is 1780188771 and holds a License No. (Washington).

The current practice location address for Lara Jean Wilson is 126 Auburn Ave Ste 300, Auburn, WA and can be reached out via phone at 253-735-0166.

Location: 126 Auburn Ave Ste 300, Auburn, WA, 98057-2908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780188771
Provider Name
Lara Jean Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 Auburn Ave Ste 300, Auburn, WA, 98057-2908
Phone Number
253-735-0166
Fax Number
Provider Enumeration Date
03/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 Auburn Ave Ste 300
City
Auburn
State
Washington
Zip
98002-5082
Phone Number
253-735-0166
Fax Number
person
Provider Business Mailing Address Details
Address
126 Auburn Ave Ste 300
City
Auburn
State
Washington
Zip
98002-5082
Phone Number
253-735-0166
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD61073915 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
()
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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