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Individual

DR. KEAN B LAWLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3216 NE 45TH PLACE, STE 203, SEATTLE, WA 98105
(206) 525-1168
(206) 525-1169
Mailing address
3216 NE 45TH PLACE, STE 203, SEATTLE, WA 98105
(206) 525-1168
(206) 525-1169

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD30728
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD30728
WA
207ND0900X
Dermatopathology Physician
MD30728
WA
207NS0135X
Procedural Dermatology Physician
MD30728
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1109735
WA
Enumeration date
05/05/2006
Last updated
09/07/2016
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