NPI 1164465258
Kean B Lawlor, MD, PLLC
Practice location
- Address
- 3216 NE 45th Pl STE 203, Seattle, WA 98105-4093
- Phone
- (206) 525-1168
- Fax
- (206) 525-1169
- Mailing address
- 22833 Bothell Everett Hwy STE 201, Bothell, WA 98021-9385
Authorised official
- Name
- Betty Jean Heupel
- Title
- Office Manager
- Phone
- (425) 486-2340
Registered specialties (3)
Dermatology Physician
Primary
MOHS-Micrographic Surgery Physician
Procedural Dermatology Physician
Registry record
- NPI
- 1164465258
- Entity type
- Organization
- NPI issued
- 14 Jun 2006
- Record last updated
- 11 Feb 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.