Individual
DR. LYLE ARDON MARCUS-LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
207 KIRKLAND AVE STE B, KIRKLAND, WA 98033-6503
(425) 739-8882
(425) 739-8886
Mailing address
207 KIRKLAND AVE STE B, KIRKLAND, WA 98033-6503
(425) 739-8882
(425) 739-8886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033833
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-09932-001
CIGNA PROVIDER #
WA
01
—
133803
L&I #
WA
01
—
3616MA
REGENCE PROVIDER #
WA
01
—
7668140
AETNA PROVIDER #
WA
Enumeration date
07/10/2006
Last updated
07/08/2007
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