Lizette Jamora Antig, MD | |
875 Wesley St Ste 130, Arlington, WA 98223 | |
(360) 435-6525 | |
(360) 435-2634 |
Full Name | Lizette Jamora Antig |
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Gender | Female |
Speciality | Pediatrics |
Location | 875 Wesley St Ste 130, Arlington, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972990042 | NPI | - | NPPES |
400219 | Other | WA | LABOR & INDUSTRIES |
2115351 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60864132 (Washington) | Primary |
Entity Name | Public Hospital Dist No 1 Skagit |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
Mailing Address | Practice Location Address |
---|---|
Lizette Jamora Antig, MD 1400 E Kincaid Street, Attn: Credentialing, Mount Vernon, WA 98274-4127 Ph: (360) 428-2500 | Lizette Jamora Antig, MD 875 Wesley St Ste 130, Arlington, WA 98223 Ph: (360) 435-6525 |
Dr. Doina A Stefan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 875 Wesley St, Suite 130, Arlington, WA 98223 Phone: 360-435-6525 Fax: 360-435-2634 | |
Dr. Krista Gaines Galitsis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 326 S. Stillaguamish Ave., Arlington, WA 98223 Phone: 360-435-2144 Fax: 360-435-9601 | |
Kathleen Gayle De Asis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 903 Medical Center Dr, Arlington, WA 98223 Phone: 360-435-6525 Fax: 360-435-2634 | |
Dr. Rosana Lim Go, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 875 Wesley St, Suite 130, Arlington, WA 98223 Phone: 360-435-6525 Fax: 360-435-2634 |