Individual provider · Type 1 NPI

Roger C. Lafavor, PAC

Surgical Physician Assistant · Seattle, WA

NPI number 1477586535 Active

Practice location

601 Broadway
Seattle, WA 98122-5330

Fax (206) 622-1644

Mailing address

805 Madison St, Suite 901
Seattle, WA 98104-1172

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10002191 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1477586535

Roger C. Lafavor, PAC's National Provider Identifier is 1477586535, issued on Jul 9, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Oct 10, 2011.