Individual
LYNN KOVACEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MINOR AVE, SUITE 240, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Mailing address
515 MINOR AVE, SUITE 240, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60212170
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282004
DEPT. OF LABOR & INDUSTRIES
WA
01
—
P01114217
RAILROAD MEDICARE
WA
Enumeration date
09/18/2008
Last updated
04/24/2014
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