Provider Demographics
NPI:1649433251
Name:BAXTER-HOLDER, GEORGE LYTTON III (ARNP)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:LYTTON
Last Name:BAXTER-HOLDER
Suffix:III
Gender:M
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:2022 BELLEVUE SQUARE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:425-688-7800
Mailing Address - Fax:425-688-7802
Practice Address - Street 1:1536 N 115TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8400
Practice Address - Country:US
Practice Address - Phone:206-363-1004
Practice Address - Fax:206-363-3548
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2015-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60028516363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health