Individual
DR. LAWRENCE R DELL ISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5525 143RD AVE SE, BELLEVUE, WA 98006-4383
(425) 373-9397
Mailing address
5525 143RD AVE SE, BELLEVUE, WA 98006-4383
(425) 373-9397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00035759
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD00035759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0277327
L&I
WA
05
—
1032875
—
WA
Enumeration date
10/06/2006
Last updated
11/21/2016
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