MEDICARE: LAVELLE HORNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1023971942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAVELLE HORNE

Provider Business Mailing Address
First Line	:	4722 SOUTHCENTER BLVD APT C209
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98188-2369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 SW 43RD ST STE 140
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-4803
Country	:	US
Telephone Number	:	425-264-0750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1407858665 — MRS. NICOLE PREVO KAGEYAMA M.D.
Practice Location Address:

1412 SW 43RD ST STE 205
RENTON, WA
98057-4803

Practice Phone: 425-264-0660
Practice Fax: 425-264-0601

1487654331 — SIGHT PARTNERS PHYSICIANS, P.C.
Practice Location Address:

1412 SW 43RD ST , SUITE 310
RENTON, WA
98057-4803

Practice Phone: 425-235-1200
Practice Fax: 425-917-9465

1679561427 — DR. NOBUYOSHI KAGEYAMA M. D.
Practice Location Address:

1412 SW 43RD ST , SUITE 205
RENTON, WA
98057-4803

Practice Phone: 425-264-0660
Practice Fax: 425-264-0601

1558331454 — MARCIA C, JORDAN M.D.
Practice Location Address:

1412 SW 43RD ST , #200
RENTON, WA
98057-4803

Practice Phone: 425-271-4910
Practice Fax: 425-264-1041

1265490312 — DR. NAIXI NICK CHEN M.D., PH.D.
Practice Location Address:

1412 SW 43RD ST STE 200
RENTON, WA
98057-4803

Practice Phone: 206-588-1722
Practice Fax: 253-277-8413

1962430637 — BELEZA PC
Practice Location Address:

1412 SW 43RD ST , #110
RENTON, WA
98057-4803

Practice Phone: 425-227-4000
Practice Fax:

Directions to “ LAVELLE HORNE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.