Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 60337642 | WA |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD60337642 | WA |
N | 2080P0214X | Pediatric Pulmonologist | 60337642 | WA |
NPI | 1699090068 |
---|---|
Provider Name | Lauren Rakes |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 19/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1699090068 | (05) | WA |