Provider Demographics
NPI:1104140920
Name:TOWOLAWI, MARGARET NKECHI (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:NKECHI
Last Name:TOWOLAWI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244TH STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-9999
Mailing Address - Country:US
Mailing Address - Phone:425-640-4830
Mailing Address - Fax:
Practice Address - Street 1:244TH STREET
Practice Address - Street 2:SUITE B BALLINGER PRIMARY CARE
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-9999
Practice Address - Country:US
Practice Address - Phone:425-640-4830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60305673207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine