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Individual

LAVANYA VISWANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
16045 1ST AVE S FL 1, BURIEN, WA 98148-1401
(206) 965-4100
(253) 426-6344
Mailing address
16045 1ST AVE S FL 1, BURIEN, WA 98148-1401
(206) 965-4100
(253) 426-6344

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD461531
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD60956240
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103323750
PA
05
2143287
WA
Enumeration date
03/31/2015
Last updated
01/18/2021
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