Individual
DR. LENNIE LYNN PEREZ MALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11307 BRIDGEPORT WAY SW STE 200, LAKEWOOD, WA 98499-3024
(253) 985-6688
(253) 985-2999
Mailing address
1730 S JACKSON AVE, TACOMA, WA 98465-1322
(253) 227-9362
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60644302
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
01/09/2018
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