Individual
IRINA KOMAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60257711
WA
208M00000X
Hospitalist Physician
Primary
MD60257711
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020164
—
WA
Enumeration date
07/22/2010
Last updated
01/05/2023
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