Laura G Sporl, MD | |
4215 49th Ave Ne, Tacoma, WA 98422-2421 | |
(253) 459-7699 | |
(253) 459-7675 |
Full Name | Laura G Sporl |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4215 49th Ave Ne, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437171238 | NPI | - | NPPES |
3374SP | Other | WA | BLUE SHIELD VM |
1686450 | Medicaid | LA | |
5812274 | Other | WA | AETNA SPECIALIST PIN VM |
8481152 | Medicaid | WA | |
P00394683 | Other | WA | RAILROAD MC # VM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 10073R (Louisiana) | Secondary |
207V00000X | Obstetrics & Gynecology | MD00047209 (Washington) | Primary |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Laura G Sporl, MD 4215 49th Ave Ne, Tacoma, WA 98422-2421 Ph: (253) 459-7699 | Laura G Sporl, MD 4215 49th Ave Ne, Tacoma, WA 98422-2421 Ph: (253) 459-7699 |
Dr. Melodie M Icasiano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431 Phone: 253-968-1740 | |
Dr. Angela Lorraine Gray, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 206-246-0468 | |
James Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-4747 | |
Amanda Carpenter Cousins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 Phone: 301-295-4000 | |
Ladonna Rae Jones, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-9860 | |
Dr. Karen M Nelson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 314 Martin Luther King Jr Way, Suite 400, Tacoma, WA 98405 Phone: 253-627-0666 | |
Rachel Y Kim, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 |