Individual
MALI LILAC PIOTTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6300 9TH AVE NE, SUITE 359, SEATTLE, WA 98115-8517
(206) 387-2962
(206) 528-5900
Mailing address
1552 N 128TH ST, SEATTLE, WA 98133-7700
(206) 387-2962
(206) 528-5900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00003771
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64974
DPT OF LABOR & INDUSTRIES
WA
01
—
PI 7023
REGENCE
WA
Enumeration date
10/31/2006
Last updated
07/08/2007
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