NPI 1124435995

Elizabeth Malan, LMP

Practitioner Contractor Lake Stevens, WA

Practice location

Address: 10830 Lake View Dr, Lake Stevens, WA 98258-9580
Phone: (425) 770-0988

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA60486686 (WA)

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Registry record

NPI: 1124435995
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2014
Record last updated: 14 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.