Individual provider · Type 1 NPI

Luly C. Zimmerman, DO

Student in an Organized Health Care Education/Training Program · Renton, WA

NPI number 1043504699 Active

Practice location

3915 Talbot Rd S, Ste 401
Renton, WA 98055-5738

Call (425) 656-4224 Map

Fax (425) 656-5099

Mailing address

PO Box 34876
Seattle, WA 98124-1876

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043504699

Luly C. Zimmerman, DO's National Provider Identifier is 1043504699, issued on May 31, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Renton, WA. The record was last updated on May 31, 2011.