Individual
LATEEF JOHNSON HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7000
(253) 874-7557
Mailing address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7000
(253) 874-7557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37285
SC
207Q00000X
Family Medicine Physician
LL37285
SC
207Q00000X
Family Medicine Physician
Primary
MD61066827
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372858
—
SC
Enumeration date
07/02/2014
Last updated
04/13/2021
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