Organization
LAWRENCE ZANE HUPPIN, DPM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE ZANE HUPPIN D.P.M. (OWNER)
(206) 344-3808
Entity
Organization
Contact information
Practice address
600 BROADWAY STE 220, SEATTLE, WA 98122-5373
(206) 344-3808
Mailing address
600 BROADWAY STE 220, SEATTLE, WA 98122-5373
(206) 344-3808
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
PO00000435
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057769
—
WA
01
—
1831237312
TRICARE
WA
01
—
54480
LABOR AND INDUSTRIES
WA
Enumeration date
01/12/2013
Last updated
01/12/2013
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