LYDIA GROSECLOSE

FEDERAL WAY, WA
NPI1679741300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: WA  MD000041885)
Enumeration Date2008-02-15
Last Update Date2008-02-15
Business Address
-- LYDIA GROSECLOSE MD
33431 13TH PL S
FEDERAL WAY, WA 98003-6357
Phone number: 253-874-7634
Mailing Address
-- LYDIA GROSECLOSE MD
955 POWELL AVE SW SUITE A
RENTON, WA 98057-2908
Phone number:
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