Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD00025107 | WA |
N | 207PE0004X | Emergency Medical Services | MD00025107 | WA |
NPI | 1063436350 |
---|---|
Provider Name | Dr. Lawrence Chu |
First Address | Bellevue, WA 98006-5593 |
Second Address | Bellevue, WA 98006-5593 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1070770 | (05) | WA |
E72366 | (02) |