Individual provider · Type 1 NPI
Lillian Baldwin Bourret, PA-C
Surgical Physician Assistant · Seattle, WA
NPI number
1861987992
Active
Practice location
6317 Linden Ave N
Seattle, WA 98103-5658
Other practice locations
- 6317 Linden Ave N, Seattle, WA 98103-5658 · (206) 637-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA61001225 (WA) |
Surgical Physician Assistant: Definition to come...
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- Mandy Warner Matta, PA-CSurgical Physician Assistant Seattle, WA NPI 1013561943
- Kari A. Schmitz, PA-CSurgical Physician Assistant Seattle, WA NPI 1023049905
- Meron H. MilesSurgical Physician Assistant Seattle, WA NPI 1023736436
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About NPI 1861987992
Lillian Baldwin Bourret, PA-C's National Provider Identifier is 1861987992, issued on Jul 1, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Dec 16, 2019.