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Organization
DR GRABOWSKI PC
Active
Organization
DR GRABOWSKI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ EMELIA LOPEZ DPM (VICEPRESIDENT)
(305) 389-0079
Entity
Organization
Contact information
Practice address
11711 NE 12TH ST, SUITE 1B, BELLEVUE, WA 98005-2461
(425) 453-1598
(425) 450-0029
Mailing address
11711 NE 12TH ST, SUITE 1B, BELLEVUE, WA 98005-2461
(425) 453-1598
(425) 450-0029
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227706
L&I INSURANCE
WA
05
—
7139736
—
WA
01
—
756480615
RAILROAD MEDICARE
WA
Enumeration date
10/09/2007
Last updated
01/28/2009
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