Individual
LILA AFLATOONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
804 CALLAHAN DR, SUITE A, BREMERTON, WA 98310
(360) 377-9744
(360) 377-2341
Mailing address
804 CALLAHAN DR, SUITE A, BREMERTON, WA 98310
(360) 377-9744
(360) 377-2341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
002495
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075138
L & I
WA
05
—
1048636
—
WA
01
—
AF1655
REGENCE
WA
Enumeration date
08/18/2006
Last updated
07/08/2007
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