MEDICARE: LYDIA BARTHOLOMEW MD

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	207Q00000X	Family Medicine Physician	MD00023756	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4326	OTHER		INTERNAL ID-MOTOR VEHICLE ID
2	0230694	OTHER	WA	L&I
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043396849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA BARTHOLOMEW MD

Provider Business Mailing Address
First Line	:	601 UNION ST
Second Line	:	2 UNION BLDG SUITE 810
City	:	SEATTLE
State	:	WA
Zip	:	98101-2341
Country	:	US
Telephone Number	:	206-701-8047
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 UNION ST
Second Line	:	2 UNION BLDG SUITE 810
City	:	SEATTLE
State	:	WA
Zip	:	98101-2341
Country	:	US
Telephone Number	:	206-701-8047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	12/09/2013

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Directions to “ LYDIA BARTHOLOMEW MD” Practice Location

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