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Individual

DR. LOULIE BRADLEY MOLLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60211225
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0279542
LNI-RADIA REST OF WA
WA
01
0377840
LNI-RADIA KING COUNTY
WA
01
0377842
LNI-SWEDISH RADIA EDMONDS
WA
01
0377848
LNI-EVERGREEN RADIA
WA
01
0407083
LNI-SEATTLE RADIOLOGY
WA
01
0414953
LNI-SOUTH SOUND RADIOLOGY
WA
05
2077576
WA
Enumeration date
07/27/2006
Last updated
03/05/2020
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