Individual
LILI A SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9595
(206) 576-3802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00030260
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100643
L & I
WA
01
—
110130674
RR MEDICARE
WA
05
—
8148496
—
WA
Enumeration date
09/23/2005
Last updated
10/09/2020
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