Individual
PROF. LISA CAROL OLMOS DE KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
908 JEFFERSON ST, SEATTLE, WA 98104-2433
(206) 744-2020
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60669002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578774956
—
WA
Enumeration date
05/25/2007
Last updated
10/14/2016
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