| Doctor Name: | ELENA PAVLIK LVOV |
| NPI Number: | 1023448925 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | AP60402904 |
| Business Practice Address: | 1210 Sw 136th St Public Health Clinic At Navos Burien, WA - 981661214 |
| Business Phone Number: | 2062576870 |
| Business Fax Number: | |
| Mailing Address: | 1512 Summit Ave Apt 405, Apt. 405 SEATTLE |
| State: | WA |
| Postal Code: | 981223653 |
| Phone Number: | 4239876767 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 05/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60402904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |