Dr. Lea Marlow, M.D.
Family Medicine in Ilwaco, WA. Individual provider (NPI-1).
NPI number1790740686
StatusActive
Last updated in NPPESJul 14, 2011
Details
- NPI
- 1790740686
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lea Marlow
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Last updated
- Jul 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 063370 | GA | Yes |
| 207Q00000X | Family Medicine | MD60202294 | WA |
Practice location
167 1st Ave NPo Box N
Ilwaco, WA 98624-9137
Phone 360-642-6498 · Fax 360-642-0114
Mailing address
Po Box NIlwaco, WA 98624-9137
Phone 360-642-6498 · Fax 360-642-0114
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