Basic Information
| Provider Information | |||||||||
| NPI: | 1598030660 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPERRY | ||||||||
| FirstName: | LILI | ||||||||
| MiddleName: | DOPINO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1342 NE 62ND ST | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981156715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066129449 | ||||||||
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| Practice Location | |||||||||
| Address1: | ICHS 16549 AURORA AVE N | ||||||||
| Address2: | |||||||||
| City: | SHORELINE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065332600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2012 | ||||||||
| LastUpdateDate: | 03/17/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 60282740 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.