Individual
LILLIAN BALDWIN BOURRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6317 LINDEN AVE N, SEATTLE, WA 98103-5658
(206) 637-1905
Mailing address
6317 LINDEN AVE N, SEATTLE, WA 98103-5658
(206) 637-1905
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61001225
WA
Other
Enumeration date
07/01/2018
Last updated
12/16/2019
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