# YARROW BAY PLASTIC SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** YARROW BAY PLASTIC SURGERY, PLLC
- **Other names:** Yarrow Bay Plastic Surgery Center, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215249941
- **Legal business name:** YARROW BAY PLASTIC SURGERY, PLLC
- **Authorized official:** DANIEL JAMES LIEBERTZ MD (OWNER)
- **Authorized official phone:** (425) 822-0300

## Contact information

- **Practice address:** 5209 LAKE WASHINGTON BLVD NE, SUITE 115, KIRKLAND, WA 98033-7355
- **Practice address phone:** (425) 822-0300
- **Practice address fax:** (425) 822-4999
- **Mailing address:** 5209 LAKE WASHINGTON BLVD NE, SUITE 115, KIRKLAND, WA 98033-7355
- **Mailing address phone:** (425) 822-0300
- **Mailing address fax:** (425) 822-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2010
- **Last updated:** 10/07/2022