Lisa Katherine Gilliam, MD, PHD | |
1959 Ne Pacific St, University Of Washington Medical Ctr, Seattle, WA 98195-0001 | |
(206) 598-4882 | |
Not Available |
Full Name | Lisa Katherine Gilliam |
---|---|
Gender | Female |
Speciality | Endocrinology |
Experience | 25 Years |
Location | 1959 Ne Pacific St, Seattle, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811072648 | NPI | - | NPPES |
8429979 | Medicaid | WA | |
238620 | Other | INTERNAL ID-MOTOR VEHICLE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD00040280 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Lisa Katherine Gilliam, MD, PHD Po Box 50095, Seattle, WA 98145-5095 Ph: () - | Lisa Katherine Gilliam, MD, PHD 1959 Ne Pacific St, University Of Washington Medical Ctr, Seattle, WA 98195-0001 Ph: (206) 598-4882 |
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