Provider Demographics
NPI:1093879058
Name:LIKOSKY, ANNE MCLAURIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MCLAURIN
Last Name:LIKOSKY
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:12333 NE 130TH LN
Mailing Address - Street 2:SUITE 330
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7467
Mailing Address - Country:US
Mailing Address - Phone:425-899-3376
Mailing Address - Fax:425-899-4131
Practice Address - Street 1:12333 NE 130TH LN
Practice Address - Street 2:SUITE 330
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7467
Practice Address - Country:US
Practice Address - Phone:425-899-3376
Practice Address - Fax:425-899-4131
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2015-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00037944207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAH12541Medicare UPIN