Individual
LAURENT NICOLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 PACIFIC AVE STE 500, EVERETT, WA 98201-4189
(425) 339-5400
(425) 339-5454
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37016
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00037016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008606
—
WA
01
—
MD00037016
LICENSE
WA
Enumeration date
03/08/2006
Last updated
05/06/2026
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