institution
Lake Washington Vascular Pllc
Vascular Surgery Physician in Bellevue, Washington
NPI 1942292875

Lake Washington Vascular Pllc is a Vascular Surgery Physician based in Seattle, WA and is specialized in Vascular Surgery. Lake Washington Vascular Pllc practices in Bellevue, WA. The NPI Number for Lake Washington Vascular Pllc is 1942292875 and holds a License No. (Washington).

The current practice location address for Lake Washington Vascular Pllc is 1135 116Th Ave Ne Ste 305, Bellevue, WA and can be reached out via phone at 425-453-1772 and via fax at 425-453-0603. You can also correspond with Lake Washington Vascular Pllc through the mailing address at PO BOX 94732, SEATTLE, WA - 98124-7032 (mailing address contact number: 425-453-1772).

Location: 1135 116Th Ave Ne Ste 305, Bellevue, WA, 98124-7032
institution
Provider Profile Details
NPI Number
1942292875
Provider Name
Lake Washington Vascular Pllc
Credential
Provider Entity Type
Organization
Address
1135 116Th Ave Ne Ste 305, Bellevue, WA, 98124-7032
Phone Number
425-453-1772
Fax Number
425-453-0603
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7105083 05 WA
CH9340 01 WA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1135 116Th Ave Ne Ste 305
City
State
Zip
98004-4623
Phone Number
425-453-1772
Fax Number
425-453-0603
person
Provider Business Mailing Address Details
Address
Po Box 94732
City
State
Zip
98124-7032
Phone Number
425-453-1772
Fax Number
425-453-0603
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
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Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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