Healthcare Provider Details

I. General information

NPI: 1043371362
Provider Name (Legal Business Name): ZSOLT A LORANT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 W MARINE VIEW DR
EVERETT WA
98201-2094
US

IV. Provider business mailing address

PO BOX 5127 THE EVERETT CLINIC
EVERETT WA
98206-5127
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-5453
  • Fax: 425-252-4441
Mailing address:
  • Phone: 425-258-3903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00039211
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: