Individual
MR. LUIS NELSON ROMAN LANTIGUA-TATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61545752
WA
207RI0200X
Infectious Disease Physician
Primary
MD61545752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2315794
—
WA
Enumeration date
04/05/2011
Last updated
06/27/2025
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