Individual
DR. DEANNA IRENE DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
Mailing address
20200 54TH AVE W, LYNNWOOD, WA 98036-6389
(425) 672-6400
(425) 672-6518
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD61060926
WA
Other
Enumeration date
05/09/2016
Last updated
03/30/2021
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