# YARROW BAY PLASTIC SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liebertz Plastic Surgery at Yarrow Bay
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588611552
- **Authorized official:** DANIEL JAMES LIEBERTZ MD (OWNER)
- **Authorized official phone:** (425) 822-0300

## Contact information

- **Practice address:** 5209 LAKE WASHINGTON BLVD,, SUITE 115, KIRKLAND, WA 98033-7355
- **Practice address phone:** (425) 822-0300
- **Practice address fax:** (425) 822-4999
- **Mailing address:** 5209 LAKE WASHINGTON BLVD,, 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 |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | Yes |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 10/07/2022