Healthcare Provider Details
I. General information
NPI: 1598884553
Provider Name (Legal Business Name): JACQUELINE SUZANNE LAMME MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/28/2007
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
904 7TH AVE
SEATTLE WA
98104-1132
US
IV. Provider business mailing address
PO BOX 5127
EVERETT WA
98206-5127
US
V. Phone/Fax
- Phone: 206-860-4541
- Fax:
- Phone: 206-860-5414
- Fax: 206-720-8462
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD61287274 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: