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MARIA LYDIA MONTENEGRO MD
NPI 1619005014
General Practice in Medical Lake, WA

Active since February 28, 2007
2320 SALNAVE RD, LAKELAND VILLAGE, MEDICAL LAKE, WA 99022(509) 299-1836(509) 299-1906 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Lydia Montenegro Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA LYDIA MONTENEGRO MD (NPI 1619005014) is an individual general practice provider in Medical Lake, Washington, licensed in Washington (MD00021239) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1619005014
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARIA LYDIA MONTENEGROCredential: MD
Location Address2320 SALNAVE RD, LAKELAND VILLAGEMedical Lake, WA 99022
Mailing Address2320 Salnave Rd, Lakeland VillageMedical Lake, WA 99022 · (509) 299-1836 · Fax (509) 299-1906
Phone(509) 299-1836
Fax(509) 299-1906
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619005014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00021239
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2320 SALNAVE RD, Medical Lake, WA 99022
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Other Identifiers 2

Medicare UPINE54453WA
Medicaid1056597WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Lydia Montenegro's NPI number?

The NPI number for Maria Lydia Montenegro is 1619005014. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Maria Lydia Montenegro located?

Maria Lydia Montenegro practices at 2320 Salnave Rd Lakeland Village, Medical Lake, WA 99022. The listed phone number is (509) 299-1836.

What is Maria Lydia Montenegro's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Maria Lydia Montenegro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.