Healthcare Provider Details

I. General information

NPI: 1891957361
Provider Name (Legal Business Name): LAWRENCE Z HUPPIN, DPM, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY STE 220
SEATTLE WA
98122-5373
US

IV. Provider business mailing address

600 BROADWAY STE 220
SEATTLE WA
98122-5373
US

V. Phone/Fax

Practice location:
  • Phone: 206-344-3808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE ZANE HUPPIN
Title or Position: OWNER / PODIATRIST
Credential: DPM
Phone: 206-344-3808