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Individual

MYCHAEL BLAKE LAGBAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 E JEFFERSON ST STE 300, SEATTLE, WA 98122-5645
(425) 498-2272
(425) 498-2334
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60970109
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2046153
WA
Enumeration date
04/07/2015
Last updated
11/19/2025
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