Organization
KEAN B LAWLOR, MD, PLLC
Active
Other names
Seattle Skin and Laser, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY JEAN HEUPEL (OFFICE MANAGER)
(425) 486-2340
Entity
Organization
Contact information
Practice address
3216 NE 45TH PL, STE 203, SEATTLE, WA 98105-4093
(206) 525-1168
(206) 525-1169
Mailing address
22833 BOTHELL EVERETT HWY, STE 201, BOTHELL, WA 98021-9385
(425) 486-2340
(425) 483-8135
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128085
—
WA
Enumeration date
06/14/2006
Last updated
02/11/2008
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