Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIA LYDIA MONTENEGRO, MD
Active Sole ProprietorMARIA LYDIA MONTENEGRO, MD is a General Practice healthcare provider located in MEDICAL LAKE, Washington. NPI 1619005014 is currently active in the NPPES registry. Verify at CMS.
General Practice · MEDICAL LAKE, WA
Registration Details
- NPI Number
- 1619005014
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2007 (19.488082756133 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD00021239 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2320 SALNAVE RDLAKELAND VILLAGEMEDICAL LAKE, WA, 99022Browse WA providers · Browse ZIP 99022
- Phone
- 5092991836
- Fax
- 5092991906
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in MEDICAL LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| GREGORY LEE SAUE | MD | 1972535763 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.