Individual
SANDRA MARIAN LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(206) 870-8880
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00036786
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169439
L&I
—
05
—
1306921119
—
WA
01
—
160010
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
08/21/2012
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