Mr. Michael Lane Pearson
Pediatrician
12904 94th Ave East
Puyallup
, Washington 98373
Mr. Michael Lane Pearson
Pediatrician
12904 94th Ave East
Puyallup
, Washington 98373
(253) 841-7311
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Mr. Michael Lane Pearson
- 12904 94th Ave East
- Puyallup, WA
- Zip : 98373
- Fax : (253) 841-7311
- Phone : (253) 841-3999
Second Address
- Mr. Michael Lane Pearson
- 12904 94th Ave East
- Puyallup, WA
- Zip : 98373
- Fax : (253) 841-7311
- Phone : (253) 841-3999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | MD00014726 | WA |
National Provider Identifier
| NPI | 1003921701 |
|---|---|
| Provider Name | Mr. Michael Lane Pearson |
| First Address | Puyallup, WA 98373 |
| Second Address | Puyallup, WA 98373 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 24/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1069103 | (05) | WA |
| 7200058 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.