Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | MD00018191 | WA |
NPI | 1477511889 |
---|---|
Provider Name | Ludwig A Allegra |
First Address | Kirkland, WA 98033-7306 |
Second Address | Kirkland, WA 98033-7306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 31/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A03963 | (02) | WA |