Individual
CAROL LYNN CZOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00035305
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00035305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1595CZ
B/S REGENCE 90
—
01
—
189630
L & I
—
05
—
8212375
—
WA
Enumeration date
06/27/2006
Last updated
10/27/2021
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