Disis, Mary Lenora

Disis, Mary Lenora is an individual health care provider with primary practice located at University Of Washington Medical Ctr 1959 Ne Pacific St, Seattle WA 98195-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Disis, Mary Lenora can be contacted via phone (206) 598-4100.

Contact Information

Primary practice address
University Of Washington Medical Ctr 1959 Ne Pacific St Seattle WA 98195-0001
Phone: (206) 598-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD00027334 Washington

Profile Details

NPI number 1033294830
LBN Legal business name Disis, Mary Lenora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033294830 NPPES
Washington Other 0230984 L&I
Washington Other 9031 L&I
Washington MEDICAID 1033294830 L&I

Popular Providers