Individual
MARY BETH LAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-4765
(206) 598-5500
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00030538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231526
L&I
WA
05
—
1992881791
—
WA
01
—
2873
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
12/31/2012
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