Individual
LYLE S SORENSEN
Active
Individual
LYLE S SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00029594
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039594
LABOR AND INDUSTRIES #
WA
05
—
8148686
—
WA
05
—
MD9594
—
AK
01
—
SO5081
BLUE SHIELD #
WA
01
—
US0862500
AETNA SPECIALIST PIN
WA
Enumeration date
10/11/2006
Last updated
06/17/2008
Update your record
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