Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD60280550 | WA |
NPI | 1053573162 |
---|---|
Provider Name | Lorena Alarcon Casas Wright |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98105-6099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 31/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0296570 | L&I (01) | WA |
1053573162 | (05) | WA |