Individual
VIVIAN LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC STREET, BOX 356410, SEATTLE, WA 98195-0001
(206) 543-3654
Mailing address
1959 NE PACIFIC STREET, BOX 356410, SEATTLE, WA 98195-0001
(206) 543-3654
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MDRE.ML.61544609
WA
Other
Enumeration date
03/18/2024
Last updated
07/06/2024
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