Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 133832 | CA |
N | 208600000X | Surgeon | 133832 | CA |
Y | 208200000X | Surgeon | MD61176187 | WA |
Y | 208600000X | Surgeon | MD61176187 | WA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD61176187 | WA |
NPI | 1235472374 |
---|---|
Provider Name | Rachel Brett Lentz |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-0470 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 12/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1235472374 | (05) | WA |