Northwest Weight Loss Surgery, Pllc

NPI #1023069747 in Everett, Washington

Provider Information

NPI Number: 1023069747
Entity Type: Organization
Organization Name: Northwest Weight Loss Surgery, Pllc
Primary Specialty: Specialist
Enumeration Date: May 15, 2006
Last Updated: Mar 21, 2012

Practice Location

Address: 125 130TH ST SE
Address 2: FIRST FLOOR
City: Everett
State: Washington
ZIP Code: 98208-6400
Phone: (425) 385-2263

Authorized Official

Name: MRS. GAIA E LUKEVICH, RN, BSN, RNFA, CASC
Title: ADMINISTRATOR
Phone: (425) 385-2263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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