Provider Demographics
NPI:1033235189
Name:LACAS, ALETHEA DAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALETHEA
Middle Name:DAWN
Last Name:LACAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5535 39TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2210
Mailing Address - Country:US
Mailing Address - Phone:206-850-9330
Mailing Address - Fax:206-386-6113
Practice Address - Street 1:1401 MADISON ST
Practice Address - Street 2:#100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1316
Practice Address - Country:US
Practice Address - Phone:206-386-6054
Practice Address - Fax:206-386-6113
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine