Lisa Marie Ivanjack, MD

NPI #1972541878 in Bothell, Washington

Provider Information

NPI Number: 1972541878
Entity Type: Individual
Name: Lisa Marie Ivanjack, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 3, 2006
Last Updated: Sep 24, 2019

Practice Location

Address: 1909 214TH ST SE STE 300
City: Bothell
State: Washington
ZIP Code: 98021
Phone: (425) 412-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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