Individual
LORNA MARY MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3597
(206) 598-6218
Mailing address
1959 NE PACIFIC ST BOX 356043, SEATTLE, WA 98195-6043
(206) 598-3597
(206) 598-6218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61353641
WA
Other
Enumeration date
09/08/2021
Last updated
10/24/2022
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