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Organization
NORTHWEST WEIGHT LOSS SURGERY, PLLC
Active
Organization
NORTHWEST WEIGHT LOSS SURGERY, PLLC
Active
Other names
Northwest Weight Loss Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIA E LUKEVICH RN, BSN, RNFA, CASC (ADMINISTRATOR)
(425) 385-2263
Entity
Organization
Contact information
Practice address
125 130TH ST SE, FIRST FLOOR, EVERETT, WA 98208-6400
(425) 385-2263
(425) 385-8476
Mailing address
125 130TH ST SE, EVERETT, WA 98208-6400
(425) 341-4800
(425) 385-2931
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
Other
Enumeration date
06/05/2006
Last updated
03/21/2012
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