MEDICARE: LOIS M GELMAN MD INC PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093823171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOIS M GELMAN MD INC PS

Provider Business Mailing Address
First Line	:	PO BOX 24961
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-0961
Country	:	US
Telephone Number	:	425-353-3788
Fax Number	:	425-353-8041

Provider Business Practice Location Address
First Line	:	4033 TALBOT RD S STE 270
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98055-5767
Country	:	US
Telephone Number	:	425-226-2041
Fax Number	:	425-226-2405

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	LOIS GELMAN
Credential	:	MD
Telephone Number	:	425-353-3788

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	11/19/2007

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