Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | A90402 | CA |
Y | 208800000X | Urologist | MD60101321 | WA |
NPI | 1003094889 |
---|---|
Provider Name | Dr. Gregory Ryan Lamberton |
First Address | Seattle, WA 98104-1172 |
Second Address | Puyallup, WA 98372-3724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2008 |
Last Update Date | 30/12/2014 |