# DR GRABOWSKI PC

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

## Provider details

- **NPI number:** 1679761324
- **Authorized official:** LUZ EMELIA LOPEZ DPM (VICEPRESIDENT)
- **Authorized official phone:** (305) 389-0079

## Contact information

- **Practice address:** 11711 NE 12TH ST, SUITE 1B, BELLEVUE, WA 98005-2461
- **Practice address phone:** (425) 453-1598
- **Practice address fax:** (425) 450-0029
- **Mailing address:** 11711 NE 12TH ST, SUITE 1B, BELLEVUE, WA 98005-2461
- **Mailing address phone:** (425) 453-1598
- **Mailing address fax:** (425) 450-0029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000825 | WA | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 01/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0227706 | L&I INSURANCE | WA |
| 05 | — | 7139736 | — | WA |
| 01 | — | 756480615 | RAILROAD MEDICARE | WA |