# LUMEN ENDOCRINOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548059850
- **Authorized official:** JEAN JACQUES S NYA-NGATCHOU MD (OWNER)
- **Authorized official phone:** (209) 426-9799

## Contact information

- **Practice address:** 10521 19TH AVE SE STE 100, EVERETT, WA 98208-4283
- **Practice address phone:** (209) 426-9799
- **Mailing address:** 10521 19TH AVE SE STE 100, EVERETT, WA 98208-4283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2025
- **Last updated:** 05/02/2025