Ivanjack, Lisa Marie

Ivanjack, Lisa Marie is an individual health care provider with primary practice located at 1909 214Th St Se Ste 300 , Bothell WA 98021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ivanjack, Lisa Marie can be contacted via phone (425) 412-7200.

Contact Information

Primary practice address
1909 214Th St Se Ste 300 Bothell WA 98021
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00038351 Washington

Profile Details

NPI number 1972541878
LBN Legal business name Ivanjack, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 24th, 2019 - about 6 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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