Provider Demographics
NPI:1326254491
Name:NOWIK, DOROTHY ADAM (LC)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:ADAM
Last Name:NOWIK
Suffix:
Gender:F
Credentials:LC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 126TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3217
Mailing Address - Country:US
Mailing Address - Phone:425-462-0577
Mailing Address - Fax:425-462-0432
Practice Address - Street 1:1407 132ND AVE NE
Practice Address - Street 2:SUITE #10
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2259
Practice Address - Country:US
Practice Address - Phone:425-462-0577
Practice Address - Fax:425-462-0432
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist