DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LYLE WILBUR LARSON

MEDICARE: LYLE WILBUR LARSON
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
1363A00000XPhysician AssistantPA10001429WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27833OTHERINTERNAL ID-MOTOR VEHICLE ID

General Provider Information

NPI Number : 1053401919
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYLE WILBUR LARSON
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : UNIVERSITY OF WASHINGTON MEDICAL CTR
Second Line : 1959 NE PACIFIC ST
City : SEATTLE
State : WA
Zip : 98195-6043
Country : US
Telephone Number : 206-598-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1952409773 — NINA A MAYR MD
Practice Location Address:
DEPARTMENT OF RADIATION ONCOLOGY , 1959 NE PACIFIC STREET
SEATTLE, WA
98195-6043
Practice Phone: 206-598-4110
Practice Fax: 206-598-3498
1013007962 — CAROL M BUCHTER
Practice Location Address:
UNIVERSITY OF WASHINGTON MEDICAL CTR , 1959 NE PACIFIC ST
SEATTLE, WA
98195-6043
Practice Phone: 206-598-4300
Practice Fax:
1144310004 — PETER JAMES KUDENCHUK
Practice Location Address:
UNIVERSITY OF WASHINGTON MEDICAL CTR , 1959 NE PACIFIC ST
SEATTLE, WA
98195-6043
Practice Phone: 206-598-4300
Practice Fax:
1205926169 — KEVIN DOUGLAS O'BRIEN
Practice Location Address:
1959 NE PACIFIC ST
SEATTLE, WA
98195-6043
Practice Phone: 206-598-4300
Practice Fax:
1114017076 — WERNER E SAMSON
Practice Location Address:
UNIVERSITY OF WASHINGTON MEDICAL CTR , 1959 NE PACIFIC ST
SEATTLE, WA
98195-6043
Practice Phone: 206-598-4300
Practice Fax:
1760572622 — KELLEY ROBERT BRANCH
Practice Location Address:
UNIVERSITY OF WASHINGTON MEDICAL CTR , 1959 NE PACIFIC ST
SEATTLE, WA
98195-6043
Practice Phone: 206-598-4300
Practice Fax:

Directions to “ LYLE WILBUR LARSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.