1922347046 NPI number — DR. DAVIS WILLIAMS LAMSON N.D.

Table of content: DR. DAVIS WILLIAMS LAMSON N.D. (NPI 1922347046)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922347046 NPI number — DR. DAVIS WILLIAMS LAMSON N.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMSON
Provider First Name:
DAVIS
Provider Middle Name:
WILLIAMS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
N.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922347046
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 SW 16TH ST
Provider Second Line Business Mailing Address:
SUITE 121
Provider Business Mailing Address City Name:
RENTON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98057-2697
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-264-0059
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 SW 16TH ST
Provider Second Line Business Practice Location Address:
SUITE 121
Provider Business Practice Location Address City Name:
RENTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98057-2697
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-264-0059
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 175F00000X , with the licence number:  NT00000422 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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