Individual
JOHN CHAMBLISS LACAMBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00029748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
01
—
3032LA
BLUE SHIELD
WA
05
—
8139024
—
WA
01
—
MD3032W
ALASKA MEDICAID
WA
Enumeration date
09/02/2006
Last updated
05/30/2012
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