Individual
LARA L HODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 TALLMAN AVE NW, SEATTLE, WA 98107-3932
(206) 781-6209
(206) 781-6183
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(536) 816-6262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044330
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204360
LABOR AND INDUSTRIES
WA
05
—
8442683
—
WA
Enumeration date
12/19/2006
Last updated
06/19/2024
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