| NPI | 1114235942 |
|---|---|
| Doing Business As | LAKE WASHINGTON DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SUSAN H KIM Physician 425-821-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00037239) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WA MD00037239) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA MD00037239) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2016-03-29 |