Most Relevant Information
Provider Data
| NPI Number: | 1003813122 |
| Provider Name: | EDANILI SAGUN LACAR M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | K1518 |
Most Important Dates
| Enumeration Date: | 07/05/2005 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
2153 E BEAVER LAKE DR SE
SAMMAMISH
WA
980757921
Practice Location Phone/Fax
| Phone: | 9567937888 |
| Fax: |
Provider Mailing Location
2153 E BEAVER LAKE DR SE
SAMMAMISH
WA
980757921
Provider Mailing Phone/Fax
| Phone: | 9567937888 |
| Fax: |