Individual
MS. LOIS JEAN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11411 - 111TH PL NE, KIRKLAND, WA 98033-4543
(425) 821-7086
Mailing address
PO BOX 2098, KIRKLAND, WA 98083-2098
(425) 821-7086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00013448
WA
207RP1001X
Pulmonary Disease Physician
00013448
WA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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