Individual
JUSTIN LAWRENCE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
PO BOX 5371, 818-RC, SEATTLE, WA 98145
(206) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
160483
AK
208000000X
Pediatrics Physician
Primary
MD61440877
WA
Other
Enumeration date
04/08/2017
Last updated
08/02/2023
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