Provider Demographics
NPI:1669407086
Name:LAUKAITIS, STEVEN JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:LAUKAITIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:625 4TH AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-9028
Mailing Address - Country:US
Mailing Address - Phone:425-216-7200
Mailing Address - Fax:425-216-7272
Practice Address - Street 1:625 4TH AVE
Practice Address - Street 2:STE 301
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-9028
Practice Address - Country:US
Practice Address - Phone:425-216-7200
Practice Address - Fax:425-216-7272
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2017-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00028072207WX0200X
WAMD0028072207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8138257Medicaid
WAAB36306Medicare ID - Type UnspecifiedMEDICARE NUMBER
WAE98250Medicare UPIN