Provider Demographics
NPI:1457513608
Name:EWING-LONCZAK, DEBRA LYNETTE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LYNETTE
Last Name:EWING-LONCZAK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M/S 4573
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-0371
Mailing Address - Country:US
Mailing Address - Phone:206-987-2361
Mailing Address - Fax:206-987-2730
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M/S 4573
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2361
Practice Address - Fax:206-987-2730
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX565879363LP0200X
WAAP30004527363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics