LISA IVANJACK, MD
Internal Medicine
Active
Individual
NPI: 1972541878
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | MD00038351 (WA) |
Frequently Asked Questions
NPI 1972541878 is the National Provider Identifier for LISA IVANJACK, MD, a Internal Medicine provider located in Bothell, WA. This NPI was enumerated on June 3, 2006.
LISA IVANJACK, MD practices at 1909 214TH ST SE STE 300, Bothell, WA 98021.
Quick Facts
- NPI
- 1972541878
- Type
- Individual
- Enumerated
- Jun 3, 2006
- Last Updated
- Sep 24, 2019
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