Pandora Lucrezia 'Luke' Wander | Everett, WA • PECOS Search

Pandora Lucrezia 'Luke' Wander

Internal Medicine

Allopathic & Osteopathic Physicians

1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665

(425) 261-2000 (866) 366-2983

PECOS Enrollment

Based on the most recent information from CMS, provider Pandora Lucrezia 'Luke' Wander does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1487810263
Provider Type
Individual
Full Name
Wander, Pandora Lucrezia 'Luke'
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/1/2008
Last Updated
3/4/2015

Contact Information

Practice Location

1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665

Unlisted Fax

Mailing Location

PO Box 3360, Portland, OR 97208-3360

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD60183461 Washington