SEATTLE SKIN AND LASER, PLLC
NPI 1457547655
Dermatology in Edmonds, WA

Active since September 20, 2007CLIA 50D1074531 · Certificate of Compliance
21701 76TH AVE W, SUITE 100, EDMONDS, WA 98026(206) 525-1168(206) 525-1169 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dermatology
  • CLIA Number: 50D1074531
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About SEATTLE SKIN AND LASER, PLLC

This page provides the complete NPI Profile along with additional information for Seattle Skin And Laser, Pllc, a provider established in Edmonds, Washington operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1457547655 assigned on September 2007. The practitioner's primary taxonomy code is 207N00000X with license number MD30728 (WA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Seattle Skin And Laser, Pllc. The authorized official of this NPI record is Mrs. Betty J Heupel (Office Manager)

NPI
1457547655 Verify this NPI
Provider Legal Name
KEAN B. LAWLOR, MD, PLLC
Other Organization Name
SEATTLE SKIN AND LASER, PLLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
21701 76TH AVE W SUITE 100 EDMONDS, WA 98026
Location Phone
(206) 525-1168
Location Fax
(206) 525-1169
Mailing Address
22833 BOTHELL EVERETT HWY SUITE 201 BOTHELL, WA 98021
Mailing Phone
(425) 486-2340
Mailing Fax
(425) 483-8135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2007
Last Update Date
02-11-2008
Code Navigator

A dermatologist like Seattle Skin And Laser, Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD30728
License State
WA
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BETTY J HEUPEL

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(425) 486-2340

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D1074531
Facility Type
Physician Office
Certificate Effective Date
October 01, 2007
Certificate Expiration Date
April 04, 2028
Laboratory Director
KEAN B. LAWLOR
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Seattle Skin And Laser, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for SEATTLE SKIN AND LASER, PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
21701 76TH AVE W
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, 202
EDMONDS, WA 98026
Physical Therapist
21701 76TH AVE W, SUITE #304
EDMONDS, WA 98026
Pain Medicine (Pain Medicine)
21701 76TH AVE W, #203
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE 202
EDMONDS, WA 98026
Nurse Practitioner (Family)
21701 76TH AVE W, SUITE 203
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE 202
EDMONDS, WA 98026
Clinic/Center (Oral and Maxillofacial Surgery)
21701 76TH AVE W, #202
EDMONDS, WA 98026
Dentist (Prosthodontics)
21701 76TH AVE W, STE 204
EDMONDS, WA 98026
Dentist (Orthodontics and Dentofacial Orthopedics)
21701 76TH AVE W, SUITE 204
EDMONDS, WA 98026
Clinic/Center
21701 76TH AVE W, STE 104 A
EDMONDS, WA 98026
Clinic/Center
21701 76TH AVE W, STE 104 B
EDMONDS, WA 98026
Clinic/Center (Federally Qualified Health Center (FQHC))
21701 76TH AVE W, SUITE 300
EDMONDS, WA 98026
Anesthesiology (Pain Medicine)
21701 76TH AVE W, STE 203
EDMONDS, WA 98026
Community/Behavioral Health
21701 76TH AVE W, SUITE 302
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE #202
EDMONDS, WA 98026
Dermatology
21701 76TH AVE W, SUITE 100
EDMONDS, WA 98026
Dermatology
21701 76TH AVE W, SUITE 302
EDMONDS, WA 98026
Oral & Maxillofacial Surgery
21701 76TH AVE W
EDMONDS, WA 98026
Counselor (Mental Health)
21701 76TH AVE W
EDMONDS, WA 98026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457547655, enumerated as an "organization" on September 20, 2007.

The provider is located at 21701 76TH AVE W SUITE 100 EDMONDS, WA 98026 and the phone number is (206) 525-1168.

Dermatology with taxonomy code 207N00000X.