Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ML60962129 | WA |
Y | 208600000X | Surgeon | ML60962129 | WA |
NPI | 1003313255 |
---|---|
Provider Name | Megan Judith Lenihan |
First Address | Seattle, WA 98122 |
Second Address | Seattle, WA 98122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2018 |
Last Update Date | 24/06/2019 |