SearchWashington124Q00000X

Lyalya Burunov

NPI 1427486497 · on the registry since 2013

Practice

Address
13017 Nw 27th Ct
Vancouver, WA 98685
Phone
(360) 314-8777

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Also registered as
124Q00000X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington