Kean B Lawlor, MD, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

KEAN B LAWLOR, MD, PLLC

Doing business as

Seattle Skin and Laser, PLLC

Practice address

3216 NE 45TH PL
Ste 203
Seattle, WA 98105-4093

Phone

(206) 525-1168

Fax

(206) 525-1169

NPI assigned

Jun 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Betty Jean Heupel

Title

Office Manager

Phone

(425) 486-2340

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Seattle Skin and Laser, PLLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1164465258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22833 BOTHELL EVERETT HWY",
            "address_2": "STE 201",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219385",
            "telephone_number": "425-486-2340",
            "fax_number": "425-483-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL",
            "address_2": "STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054093",
            "telephone_number": "206-525-1168",
            "fax_number": "206-525-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAN B LAWLOR, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "HEUPEL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-486-2340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128085",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Skin and Laser, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Astha KC, MD
• Yan Ke
• Michael Bryan Keadle
• Keale W Louie DDS PLLC
• Jennifer Keam, MD
• Pamela Anne Kean
• Sharon Inez Kean, PHD
• Brenna M Keane, OTR/L
• Deborah R Kearnes, ARNP
• David John Kearney, M.D.

• Dermatology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.