Lisa Marie Ivanjack, MD
Internal Medicine Physician · Bothell, WA
Practice location
1909 214TH St SE Ste 300Bothell, WA 98021
- Phone
- (425) 412-7200
NPI record
- NPI
- 1972541878
- Entity type
- Individual (Type 1)
- Enumeration date
- June 3, 2006
- Last updated
- September 24, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Physician Primary | 207R00000X |
MD00038351 | WA |
Mailing address
1909 214TH St SE Ste 300Bothell, WA 98021-4418
- Phone
- (425) 412-7200
Other practice locations (1)
- 4410 106th St SW, Mukilteo, WA 98275 · (425) 493-6001
About Dr. Ivanjack
Lisa Marie Ivanjack, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 1909 214TH St SE Ste 300, Bothell, WA 98021. The NPI number 1972541878 was assigned on June 3, 2006 and the record was last updated on September 24, 2019.
Dr. Ivanjack lists a license in the registry: #MD00038351 (WA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lisa Marie Ivanjack, MD?
The NPI number is 1972541878.
What is the phone number of Dr. Ivanjack?
The phone number listed for the practice location is (425) 412-7200.
Where is Dr. Ivanjack located?
1909 214TH St SE Ste 300, Bothell, WA 98021.
What is the taxonomy code for Dr. Ivanjack?
The primary taxonomy code is 207R00000X – Internal Medicine Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Internal Medicine Physician providers in Bothell
- Ruth A. Freeman, M.D.1908 201st Pl SE Ste 100
- Abdullah Oz, MD24230 18TH Pl W
- Shiquan Liu, MD, PHD10701 E Riverside Dr
- Jody M. Rhoades, MD1909 214TH St SE
- Diane Doerner, MD1909 214TH St SE
- Kaori A. Sakurai, MD22722 29TH Dr SE Ste 100
- Anita Elangovan, MD1909 214TH St SE Ste 300
- Carmen Gabriela Kelling, MD1909 214TH St SE Ste 300
- Khadij Assani, DO11913 NE 195TH St
- Prime Care PLLC11812 N Creek Pkwy N Ste 202
- James David Brown, MD1909 214TH St SE
- Nancy Ione Hovsepian, M.D.11913 NE 195TH St