Individual
LYNNETTE MAY LACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE # 359702, SEATTLE, WA 98104-2420
(845) 594-3386
Mailing address
325 9TH AVE # 359702, SEATTLE, WA 98104-2420
(845) 594-3386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61310754
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
06/12/2023
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