Organization
NORTHWEST WEIGHT LOSS SURGERY, PLLC
Active
Other names
Northwest Weight Loss Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIA E LUKEVICH RN, BSN, RNFA, CASC (ADMINISTRATOR)
(425) 385-2263
Entity
Organization
Contact information
Practice address
125 130TH ST SE, FIRST FLOOR, EVERETT, WA 98208-6400
(425) 385-2263
(425) 385-8476
Mailing address
125 130TH ST SE, EVERETT, WA 98208-6400
(425) 341-4800
(425) 385-2931
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
Other
Enumeration date
06/05/2006
Last updated
03/21/2012
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