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Individual

CARLOS LAMORE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 303-3053
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301509384
MI
207Y00000X
Otolaryngology Physician
Primary
MD61543236
WA

Other

Enumeration date
03/27/2017
Last updated
09/17/2024
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