LINGGA ADIDHARMA
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1013595537- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1959 NE PACIFIC ST, SEATTLE, WA, 981950001
- Phone
- (206) 598-4022
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Otolaryngology
Primary License: WA #ML.61165617