Laura Walsh, MD, PHD | |
600 Sw 39th St Ste 150, Renton, WA 98057-4911 | |
(425) 690-3483 | |
(425) 690-9083 |
Full Name | Laura Walsh |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 600 Sw 39th St Ste 150, Renton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043715006 | NPI | - | NPPES |
2215247 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 125.073452 (Illinois) | Secondary |
207N00000X | Dermatology | MD61271877 (Washington) | Primary |
Entity Name | Valley Medical Group-renton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Laura Walsh, MD, PHD 660 Sw 39th St Ste 150, Renton, WA 98057-4912 Ph: (425) 690-3483 | Laura Walsh, MD, PHD 600 Sw 39th St Ste 150, Renton, WA 98057-4911 Ph: (425) 690-3483 |
Young Mike Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 910 N 10th Pl, Renton, WA 98057 Phone: 206-386-9540 Fax: 425-391-5751 | |
Kevin Man Hin Luk, Dermatology Medicare: Medicare Enrolled Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Cynthia Ackerman Knutson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083 | |
Llewellyn Phillips Ii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4509 Talbot Rd S, Suite 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283 | |
Mrs. Nicole Prevo Kageyama, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1412 Sw 43rd St Ste 205, Renton, WA 98057 Phone: 425-264-0660 Fax: 425-264-0601 | |
Dr. Craig K Fujisaki, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4509 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283 |