Individual
LARA SENEKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PO BOX 359796, SEATTLE, WA 98195-9796
(206) 744-3564
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1092
(510) 437-4541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
60747533
WA
208600000X
Surgery Physician
8437795-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851680102
—
UT
Enumeration date
04/06/2011
Last updated
07/21/2022
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