Individual
DR. HAZEL JOYCE ZALDIVIA LUPENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16259 SYLVESTER RD SW, BURIEN, WA 98166-3049
(206) 241-1818
(360) 744-6270
Mailing address
16259 SYLVESTER RD SW, BURIEN, WA 98166-3049
(206) 241-1818
(360) 744-6270
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME102309
FL
207RP1001X
Pulmonary Disease Physician
Primary
MD60934777
WA
207RP1001X
Pulmonary Disease Physician
ME102309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2140527
—
WA
01
—
ME102309
DEPARTMENT OF HEALTH FL LICENSE
FL
01
—
ME102309
FLORIDA MEDICAL LICENSE
—
Enumeration date
07/04/2006
Last updated
12/07/2020
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