Maria Lydia Montenegro, MD

NPI #1619005014 in Medical Lake, Washington

Provider Information

NPI Number: 1619005014
Entity Type: Individual
Name: Maria Lydia Montenegro, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Feb 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2320 SALNAVE RD
Address 2: LAKELAND VILLAGE
City: Medical Lake
State: Washington
ZIP Code: 99022
Phone: (509) 299-1836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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