| Sandra Marian Lord, | |
|
23213 Pacific Hwy S, Kent, WA 98032-2721 | |
| (206) 870-8880 | |
| Not Available |
| Full Name | Sandra Marian Lord |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 23213 Pacific Hwy S, Kent, 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 |
|---|---|---|---|
| 1306921119 | NPI | - | NPPES |
| 0169439 | Other | L&I | |
| 160010 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 1306921119 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00036786 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Mason Medical Center | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virginia Mason Medical Center | 9830002617 | 839 |
| Entity Name | Virginia Mason Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Marian Lord, Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420 | Sandra Marian Lord, 23213 Pacific Hwy S, Kent, WA 98032-2721 Ph: (206) 870-8880 |
Jennifer Lynn Azen, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23213 Pacific Hwy S., Kent, WA 98032 Phone: 206-543-0065 | |
Hien Pham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-395-1944 | |
Dr. Rijuna Menon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-1944 Fax: 253-520-3242 | |
Dr. Andrew Trueman Brockenbrough, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3544 Fax: 425-690-9444 | |
Brian Wayne Goodell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24705 142nd Ave Se, Kent, WA 98042 Phone: 253-631-6154 | |
Dr. San Lwai, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20040 - 120th Ave S.e., Kent, WA 98031 Phone: 253-852-7206 Fax: 253-852-7206 |