Individual
DR. JOHNSON E-ZYE LOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12040 NE 128TH ST, MS #105, KIRKLAND, WA 98034-3013
(425) 899-2560
(425) 899-2079
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201038
LABOR & INDUSTRIES
WA
01
—
3582LO
BLUE SHIELD
WA
05
—
8204638
—
WA
01
—
P00252373
MEDICARE RAILROAD
WA
Enumeration date
11/16/2005
Last updated
06/18/2009
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