Individual
LYDIA KATHERINE FIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
601 BROADWAY STE 700, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Mailing address
601 BROADWAY STE 700, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.PA.61102619
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61102619
WA
Other
Enumeration date
10/27/2020
Last updated
07/26/2024
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