Individual
SHU-TSUI LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 466-7237
Mailing address
833 LAKE WASHINGTON BLVD S, SEATTLE, WA 98144-3311
(404) 317-3551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004270
GA
363AM0700X
Medical Physician Assistant
Primary
PA60225033
WA
367H00000X
Anesthesiologist Assistant
004270
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406915721A
—
GA
Enumeration date
05/17/2007
Last updated
05/12/2021
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