Individual
DR. JENNY LISA LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00048114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3979VE
BLUE SHIELD #
WA
05
—
8494973
—
WA
01
—
US9380059
AETNA PCP PIN
WA
Enumeration date
08/21/2007
Last updated
05/14/2026
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