Individual
LALA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-1447
(206) 598-3300
Mailing address
504 5TH AVE S APT 522, SEATTLE, WA 98104-3777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125071102
IL
2084P0800X
Psychiatry Physician
Primary
61139887
WA
Other
Enumeration date
06/09/2017
Last updated
01/25/2022
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