Lacar, Edanili Sagun

Lacar, Edanili Sagun is an sole proprietor health care provider with primary practice located at 2153 E Beaver Lake Dr Se , Sammamish WA 98075-7921. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lacar, Edanili Sagun can be contacted via phone (956) 793-7888.

Contact Information

Primary practice address
2153 E Beaver Lake Dr Se Sammamish WA 98075-7921
Phone: (956) 793-7888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X K1518 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K1518 Texas

Profile Details

NPI number 1003813122
LBN Legal business name Lacar, Edanili Sagun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003813122 NPPES
Texas MEDICAID 124992206;124992205
Texas Other K0099021
Texas MEDICAID 124992207
Texas Other K1518

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