Individual
LAKSHMI M THIAGARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, MSN, ARNP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6374
(206) 625-7275
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60064796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0288522
DEPT OF LABOR AND INDUSTRIES
WA
05
—
1861556730
—
WA
Enumeration date
04/01/2009
Last updated
03/13/2012
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