Provider Demographics
NPI:1497995823
Name:ARMSTRONG, LAURA ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ELAINE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELAINE
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:610 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:WA
Mailing Address - Zip Code:98541-9353
Mailing Address - Country:US
Mailing Address - Phone:360-346-2222
Mailing Address - Fax:360-346-2191
Practice Address - Street 1:610 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:WA
Practice Address - Zip Code:98541-9353
Practice Address - Country:US
Practice Address - Phone:360-346-2222
Practice Address - Fax:360-346-2191
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2224207Q00000X
WA61299089207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD61299089OtherSTATE LICENSE
TXN2224OtherSTATE LICENSE