Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD00015016 | WA |
NPI | 1093906992 |
---|---|
Provider Name | Laird Patterson |
First Address | Renton, WA 98057-2011 |
Second Address | Renton, WA 98057-2011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 06/08/2007 |