Individual
AMY LAVAVESHKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1100 9TH AVE, BOX 900, SEATTLE, WA 98101-2756
(206) 583-6063
(206) 583-6580
Mailing address
1100 9TH AVE, BOX 900, SEATTLE, WA 98101-2756
(206) 583-6063
(206) 583-6580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 60452834
WA
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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