Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00024766 | WA |
NPI | 1689620270 |
---|---|
Provider Name | Dr. Kirby J Lautman |
First Address | Federal Way, WA 98003-8723 |
Second Address | Federal Way, WA 98003-8723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 06/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1427128198 | GROUP NPI (01) | WA |
A06227 | (02) | WA |