Lyle Wilbur Larson in Seattle - Physician Assistant

Lyle Wilbur Larson - NPI 1053401919

Lyle Wilbur Larson is a Physician Assistant in Seattle, Washington. Lyle Wilbur Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lyle Wilbur Larson is 1053401919. The last update date is 2007-07-08.

Lyle Wilbur Larson's current location address is University Of Washington Medical Ctr, Seattle, Washington. You can contact this provider via phone number 2065984300. The mailing address for Lyle Wilbur Larson is University Of Washington Medical Ctr, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Lyle Wilbur Larson
Address University Of Washington Medical Ctr, Seattle, Washington
Phone Number 2065984300
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1053401919
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address University Of Washington Medical Ctr
City Seattle
State Washington (WA)
Post Code 981956043
Phone Number 2065984300
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10001429
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8320616 WA --
7833 INTERNAL ID-MOTOR VEHICLE ID

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FAQs about Lyle Wilbur Larson

What is the Lyle Wilbur Larson's 1053401919?

The Lyle Wilbur Larson's NPI (National Provider Identifier) Number is 1053401919. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lyle Wilbur Larson is geographically located?

The Lyle Wilbur Larson is physically situated at the following location: University Of Washington Medical Ctr, Seattle, WA, 981956043.

What is Lyle Wilbur Larson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lyle Wilbur Larson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Lyle Wilbur Larson receive its 1053401919 assignment?

The Lyle Wilbur Larson was assigned its 1053401919 on 2006-10-13, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Lyle Wilbur Larson most recently updated or revised?

The information pertaining to Lyle Wilbur Larson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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