Lackerman, Ellen
Lackerman, Ellen is an individual health care provider with primary practice located at 1200 12Th Ave S , Seattle WA 98144-2712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lackerman, Ellen can be contacted via phone (206) 326-2400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00023806 | Washington |
Profile Details
| NPI number | 1710976485 |
|---|---|
| LBN Legal business name | Lackerman, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710976485 | NPPES |
| Washington | MEDICAID | 8131476 |
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