Issaquah Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ISSAQUAH PLASTIC SURGERY PLLC

Practice address

1505 NW Gilman Blvd Ste 4
Issaquah, WA 98027-5398

Phone

(425) 392-8282

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Lu, M.D.

Title

Managing Member

Phone

(425) 392-8282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1245416882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW GILMAN BLVD STE 4",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275398",
            "telephone_number": "425-392-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW GILMAN BLVD STE 4",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275398",
            "telephone_number": "425-392-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "425-392-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issaquah Medical Group PLLC
• Issaquah Natural Medicine, Inc (Issaquah Valley Natural Medicine)
• Issaquah Obstetrics and Gynecology PLLC
• Issaquah Operations, LLC (Avamere Rehabilitation of Issaquah)
• Issaquah Physical Therapy, Inc
• Issaquah Primary Care Associates PS
• Issaquah School District
• Issaquah Surgery Center, LLC (Issaquah Surgery Center)
• Issaquah Valley Dental Care
• Issaquah Vision Center PLLC (Meadows Vision Center)

• Plastic Surgery Physician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.