Basic Information
| Provider Information | |||||||||
| NPI: | 1033235189 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LACAS | ||||||||
| FirstName: | ALETHEA | ||||||||
| MiddleName: | DAWN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5535 39TH AVE NE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981052210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2068509330 | ||||||||
| FaxNumber: | 2063866113 | ||||||||
| Practice Location | |||||||||
| Address1: | 1401 MADISON ST | ||||||||
| Address2: | #100 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981041316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063866054 | ||||||||
| FaxNumber: | 2063866113 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.