Provider Demographics
NPI:1760553028
Name:LAURIE J MERCIER MD PS
Entity Type:Organization
Organization Name:LAURIE J MERCIER MD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MERCIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-702-5770
Mailing Address - Street 1:13553 NE 54TH PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1037
Mailing Address - Country:US
Mailing Address - Phone:425-702-5770
Mailing Address - Fax:425-702-5770
Practice Address - Street 1:13553 NE 54TH PL
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1037
Practice Address - Country:US
Practice Address - Phone:425-702-5770
Practice Address - Fax:425-702-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037532207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty