Lord, Sandra Marian

Lord, Sandra Marian is an individual health care provider with primary practice located at 23213 Pacific Hwy S , Kent WA 98032-2721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lord, Sandra Marian can be contacted via phone (206) 870-8880.

Contact Information

Primary practice address
23213 Pacific Hwy S Kent WA 98032-2721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00036786 Washington

Profile Details

NPI number 1306921119
LBN Legal business name Lord, Sandra Marian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306921119 NPPES
Other 0169439 L&I
Other 160010 L&I
MEDICAID 1306921119 L&I

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