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1972541878
LISA MARIE IVANJACK
BOTHELL, WA
NPI
1972541878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00038351)
Enumeration Date
2006-06-03
Last Update Date
2019-09-24
Business Address
LISA MARIE IVANJACK MD
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Phone number: 425-412-7200
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Mailing Address
LISA MARIE IVANJACK MD
1909 214TH ST SE STE 300
BOTHELL, WA 98021-4418
Phone number: 425-412-7200
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