Individual
MISHA ANN HOST LOKHANDWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(231) 329-2499
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60654565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215384987
—
WA
Enumeration date
05/23/2016
Last updated
06/21/2023
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