Provider Demographics
NPI: | 1588372049 |
---|---|
Name: | JAMES AND LACAMBRA PLLC |
Entity type: | Organization |
Organization Name: | JAMES AND LACAMBRA PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MEMBER JAMES AND LACAMBRA PLLC |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | KAREN |
Authorized Official - Middle Name: | CLIFFORD |
Authorized Official - Last Name: | JAMES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 206-215-4300 |
Mailing Address - Street 1: | 1600 E JEFFERSON ST STE 115 |
Mailing Address - Street 2: | |
Mailing Address - City: | SEATTLE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98122-5643 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 206-215-4300 |
Mailing Address - Fax: | 206-215-4315 |
Practice Address - Street 1: | 1600 E JEFFERSON ST STE 115 |
Practice Address - Street 2: | |
Practice Address - City: | SEATTLE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98122-5643 |
Practice Address - Country: | US |
Practice Address - Phone: | 206-215-4300 |
Practice Address - Fax: | 206-215-4315 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-11-14 |
Last Update Date: | 2022-11-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine | Group - Single Specialty |