Individual
BRIAN DAVID LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1322 3RD ST SE STE 240, MS 1322-2-EFM, PUYALLUP, WA 98372-3771
(253) 697-1420
(253) 697-1439
Mailing address
1322 3RD ST SE STE 240, MS 1322-2-EFM, PUYALLUP, WA 98372-3771
(253) 697-1420
(253) 697-1439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60669258
WA
207R00000X
Internal Medicine Physician
OP60669258
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2013
Last updated
08/26/2016
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