Individual
LYUDMILA E KRUZHKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3601
Mailing address
3002 E 25TH ST, VANCOUVER, WA 98661-4567
(703) 853-0063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
282174
NY
207R00000X
Internal Medicine Physician
Primary
60709743
WA
Other
Enumeration date
04/30/2012
Last updated
11/06/2019
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