Individual
PAWADEE LOHAVANICHBUTR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
835 E FAIRHAVEN AVE, BURLINGTON, WA 98233-0329
(360) 755-0641
(360) 755-1405
Mailing address
PO BOX 329, 835 E FAIRHAVEN AVE, BURLINGTON, WA 98233-0329
(360) 755-0641
(360) 755-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044603
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8433567
—
WA
Enumeration date
03/09/2006
Last updated
07/08/2007
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