Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD60230732 | WA |
NPI | 1225086424 |
---|---|
Provider Name | Julie A. Lacombe |
First Address | Issaquah, WA 98027-8969 |
Second Address | Issaquah, WA 98027-8969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 19/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I00263 | (02) |