Individual provider · Type 1 NPI
Maria Lydia Montenegro, MD
General Practice Physician · Medical Lake, WA
NPI number
1619005014
Active
Practice location
2320 Salnave Rd, Lakeland Village
Medical Lake, WA 99022
Fax (509) 299-1906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD00021239 (WA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Medical Lake
About NPI 1619005014
Maria Lydia Montenegro, MD's National Provider Identifier is 1619005014, issued on Feb 28, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Medical Lake, WA. The record was last updated on Jul 8, 2007.