Basic Information
| Provider Information | |||||||||
| NPI: | 1942413992 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LYUS | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | JOHN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1414 E DENNY WAY | ||||||||
| Address2: | #5 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981222664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069639063 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | SWEDISH CHERRY HILL FAMILY MEDICINE | ||||||||
| Address2: | SUITE 400, JEFFERSON ST. | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063202233 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | ML20008452 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.