Lord, Timothy D
Lord, Timothy D is an individual health care provider with primary practice located at 3633 Pacific Ave Suite 204, Tacoma WA 98418-7900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Lord, Timothy D can be contacted via phone (253) 274-1668.Contact Information
Primary practice address
3633 Pacific Ave Suite 204
Tacoma WA 98418-7900
Phone: (253) 274-1668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 32827 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 46220 | Texas |
Profile Details
| NPI number | 1174590210 |
|---|---|
| LBN Legal business name | Lord, Timothy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 8th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174590210 | NPPES |
| Washington | MEDICAID | 8218737 |
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