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Individual

WILLIAM D LACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11011 MERIDIAN AVE N STE 201, SEATTLE, WA 98133
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60872422
WA
207XX0801X
Orthopaedic Trauma Physician
Primary
MD60872422
WA

Other

Enumeration date
06/21/2007
Last updated
08/09/2018
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