Individual
DR. SUSAN LEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(206) 505-1300
Mailing address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 505-1300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD60276073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A121574
MEDICAL BOARD OF CALIFORNIA
CA
01
—
MD16129
STATE LICENSE
HI
01
—
MD60276073
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/06/2008
Last updated
05/18/2021
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