Lisa Marie Ivanjack, MD
Lisa Marie Ivanjack is a Internal Medicine Physician provider (Internal Medicine) practicing in Bothell, WA, registered in the NPPES registry with NPI 1972541878 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972541878 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Lisa Marie Ivanjack |
| Credential | MD |
| Sex | Female |
| Practice address | 1909 214TH ST SE STE 300, Bothell, WA, 98021 |
| Phone | 4254127200 |
| Enumeration date | 2006-06-03 |
| Last updated in NPPES | 2019-09-24 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | MD00038351 | WA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Lisa Ivanjack, MD NPI: 1972541878 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 1909 214TH ST SE STE 300, Bothell, WA, 98021
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356316798 | Anita Elangovan | Individual | Internal Medicine Physician | Bothell, WA |
| 1457300543 | Carmen Kelling | Individual | Internal Medicine Physician | Bothell, WA |
| 1649218546 | Robert Glazewski | Individual | Family Medicine Physician | Bothell, WA |
| 1104869429 | Bernadeth Gonzales | Individual | Family Medicine Physician | Bothell, WA |
| 1962414375 | Jaymes Venema | Individual | Neurology Physician | Bothell, WA |
| 1114023553 | Nha Ton | Individual | Family Medicine Physician | Bothell, WA |
| 1154419588 | Kerlan Wolsey | Individual | Pulmonary Disease Physician | Bothell, WA |
| 1225172620 | Xing Fu | Individual | Pain Medicine (Anesthesiology) Physician | Bothell, WA |
Verify this record
Cross-check NPI 1972541878 against the authoritative CMS record: view Lisa Marie Ivanjack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-09-24.