Iliana Domenica Micali is a Internal Medicine Physician based in Seattle, WA. Iliana Domenica Micali practices in Lakewood, WA and has the professional credentials of MD. The NPI Number for Iliana Domenica Micali is 1134128788 and holds a License No. MD00037682 (Washington).
The current practice location address for Iliana Domenica Micali is 7424 Bridgeport Way W Ste 201, Lakewood, WA and can be reached out via phone at 253-240-2110 and via fax at 253-240-2111.
Identifier | Type | State | Issuer |
---|---|---|---|
912006268 | 01 | WA | PREMERA |
912006268 MI8274 | 01 | WA | REGENCE BLUESHIELD |
0171332 | 01 | WA | LABOR & INDUSTRIES |
2225134 | 01 | WA | AETNA HEALTH MANAGEMENT |
912006268 | 01 | WA | PROVIDER TAX ID |
110229103 | 01 | RAILROAD MEDICARE | |
912006268 98002 0000 | 01 | WA | TRICARE |
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