Individual
LEANNE DIMUGNO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00040037
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8278939
—
WA
Enumeration date
03/08/2006
Last updated
07/08/2007
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