Individual
ANDREA LYNN KORMONDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
110 LAKESIDE AVE, SUITE 1, SEATTLE, WA 98122-6594
(206) 322-5118
Mailing address
309 16TH AVE E. #301, SEATTLE, WA 98112
(206) 234-9973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA17831
WA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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