# LENORA MARIE IVANEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790088052
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA60191143 | WA | Yes |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 02/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0274355 | STATE L&I | WA |
| 01 | — | 0287539 | STATE L&I | WA |
| 01 | — | 0287560 | STATE L&I | WA |
| 01 | — | 0287576 | STATE L&I | WA |
| 01 | — | 0301161 | STATE L&I | WA |
| 01 | — | 0301184 | STATE L&I | WA |
| 01 | — | 0304365 | STATE L&I | WA |