Lavinder, Imka

Lavinder, Imka is an individual health care provider with primary practice located at 4700 Pt Fosdick Dr Nw #211, Gig Harbor WA 98335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lavinder, Imka can be contacted via phone (253) 851-5665.

Contact Information

Primary practice address
4700 Pt Fosdick Dr Nw #211 Gig Harbor WA 98335
Phone: (253) 851-5665
Fax: (253) 627-0855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OP00001745 Washington

Profile Details

NPI number 1578659678
LBN Legal business name Lavinder, Imka
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Sep 21st, 2012 - about 12 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 1578659678 NPPES
Washington MEDICAID 8283335

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