Organization
ISSAQUAH PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY LU M.D. (MANAGING MEMBER)
(425) 392-8282
Entity
Organization
Contact information
Practice address
1505 NW GILMAN BLVD STE 4, ISSAQUAH, WA 98027-5398
(425) 392-8282
Mailing address
1505 NW GILMAN BLVD STE 4, ISSAQUAH, WA 98027-5398
(425) 392-8282
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
WA
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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