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Individual

DR. STACY LYNN TOVAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3220 UDDENBERG LN, SUITE 5, GIG HARBOR, WA 98335-5128
(253) 851-2020
Mailing address
PO BOX 2020, GIG HARBOR, WA 98335-4020
(253) 851-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03945
WA
152W00000X
Optometrist
280T
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2030989
WA
01
P00375324
RAILROAD MEDICARE PIN
WA
Enumeration date
10/16/2005
Last updated
01/03/2012
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