Individual
ANDREW ROBERT ABOLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4905 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 581-3075
(253) 581-3178
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 581-3075
(253) 581-3178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10437
L&I
WA
05
—
1113075
—
WA
Enumeration date
08/22/2005
Last updated
03/20/2014
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