Provider Demographics
NPI:1265887442
Name:KEYSER, LAUREN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:KEYSER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4234
Mailing Address - Country:US
Mailing Address - Phone:253-403-1000
Mailing Address - Fax:
Practice Address - Street 1:6002 WESTGATE BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2570
Practice Address - Country:US
Practice Address - Phone:253-880-9626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60650854363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health