Individual
ADRIAN LAZAREVIC-FOGELQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST # 356421, SEATTLE, WA 98195-0001
(425) 445-3094
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61462065
WA
208M00000X
Hospitalist Physician
Primary
MD61462065
WA
Other
Enumeration date
04/24/2021
Last updated
12/30/2024
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