Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD 60021575 | WA |
Y | 2080P0204X | Pediatric Emergency Doctor | MD60021575 | WA |
NPI | 1194737106 |
---|---|
Provider Name | Lila N O'mahony |
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 | 12/08/2006 |
Last Update Date | 13/08/2013 |