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Individual

DR. EDANILI SAGUN LACAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2153 E BEAVER LAKE DR SE, SAMMAMISH, WA 98075-7921
(956) 793-7888
Mailing address
2153 E BEAVER LAKE DR SE, SAMMAMISH, WA 98075-7921
(956) 793-7888

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1518
TX
208D00000X
General Practice Physician
K1518
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124992206;124992205
TX
05
124992207
TX
01
K0099021
DPS
TX
01
K1518
MEDICAL LICENSE
TX
Enumeration date
07/05/2005
Last updated
03/07/2023
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