Individual
NATALIA NISEVICH-LURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16850 SE 272ND ST, COVINGTON, WA 98042-4931
(253) 395-1960
Mailing address
3600 LIND AVE SW, STE 100, RENTON, WA 98055-4934
(425) 656-5412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044668
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8432494
—
WA
Enumeration date
07/31/2006
Last updated
07/08/2007
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