William D Lack, M.D.
Orthopaedic Surgery, Orthopaedic Trauma in Seattle, WA. Individual provider (NPI-1).
NPI number1922204635
StatusActive
Last updated in NPPESAug 9, 2018
Details
- NPI
- 1922204635
- Entity type
- Individual (NPI-1)
- Name
- William D Lack
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2007
- Last updated
- Aug 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | MD60872422 | WA | Yes |
| 207X00000X | Orthopaedic Surgery | MD60872422 | WA |
Practice location
11011 Meridian Ave N Ste 201Seattle, WA 98133
Phone 206-520-5000
Mailing address
Po Box 50095Seattle, WA 98145-5095
Phone 206-520-5700
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