Organization
LINCOLN COUNTY
Active
Other names
Lincoln County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD DZEDZY R.S. (PUBLIC HEALTH ADMINISTRATOR)
(509) 725-9213
Entity
Organization
Contact information
Practice address
90 NICHOLLS STR., DAVENPORT, WA 99122
(509) 725-1001
(509) 725-1014
Mailing address
90 NICHOLLS STR., DAVENPORT, WA 99122
(509) 725-1001
(509) 725-1014
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD00008642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007735
—
WA
05
—
7407992
—
WA
05
—
8213407
—
WA
Enumeration date
07/27/2005
Last updated
01/16/2008
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