Organization
INTERNAL MEDICINE CONSULTANTS NW PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LLEWELLYN MD (OWNER)
(360) 466-9223
Entity
Organization
Contact information
Practice address
456 KLICKITAT DR, LA CONNER, WA 98257-9517
(360) 466-9223
Mailing address
PO BOX 190, LA CONNER, WA 98257-0190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
12/12/2011
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