Search › Washington › 207R00000X
Lisa Ivanjack, MD
NPI 1972541878 · on the registry since 2006
Practice
- Address
- 1909 214th St Se Ste 300
Bothell, WA 98021 - Phone
- (425) 412-7200
- Organisation at this address
- Pacmed Clinics
Pacmed Clinics
Dynacare Northwest Inc
Western Washington Medical Group
Laboratory Corporation Of AmericaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Additional practice sites
- 4410 106th St Sw, Mukilteo, WA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-24
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