Individual provider · NPI-1

Dr. Joanne S. Chua, M.D.

Radiology, Diagnostic Radiology · Lynnwood, WA

NPI number1679787311
StatusActive
Last updated in NPPESApr 11, 2017

Details

NPI
1679787311
Entity type
Individual (NPI-1)
Name
Dr. Joanne S. Chua
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2007
Last updated
Apr 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyMD60207514WAYes
207R00000X Internal MedicineMT188427PA

Practice location

19020 33rd Ave W
Suite 210
Lynnwood, WA 98036-4748

Phone 425-563-1500 · Fax 425-563-1501

Mailing address

19020 33rd Ave W
Suite 210
Lynnwood, WA 98036-4748

Phone 425-563-1500 · Fax 425-563-1374

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