Antig, Lizette Jamora

Antig, Lizette Jamora is an individual health care provider with primary practice located at 875 Wesley St Ste 130 , Arlington WA 98223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Antig, Lizette Jamora can be contacted via phone (360) 435-6525.

Contact Information

Primary practice address
875 Wesley St Ste 130 Arlington WA 98223
Phone: (360) 435-6525
Fax: (360) 435-2634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60864132 Washington

Profile Details

NPI number 1972990042
LBN Legal business name Antig, Lizette Jamora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2015
Last updated Oct 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972990042 NPPES
Washington Other 400219 LABOR & INDUSTRIES
Washington MEDICAID 2115351 LABOR & INDUSTRIES

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