Provider Demographics
NPI:1942619580
Name:BROWN, LAUREN HALEY (MS)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:HALEY
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:HALEY
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356159
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6159
Mailing Address - Country:US
Mailing Address - Phone:206-598-3612
Mailing Address - Fax:206-598-2359
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356159
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6159
Practice Address - Country:US
Practice Address - Phone:206-598-3612
Practice Address - Fax:206-598-2359
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGP60495990170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS