Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD60956751 | WA |
Y | 207YS0123X | Facial Plastic Surgeon | MD60956751 | WA |
NPI | 1558604728 |
---|---|
Provider Name | Dr. Guanning Lu |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 29/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1558604728 | (05) | WA |