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NPI Code Detail

MEDICARE: CELENE NOLAN LMP

MEDICARE: CELENE NOLAN LMP
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
1172M00000XMechanotherapistMA60178677WA

General Provider Information

NPI Number : 1053613539
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELENE NOLAN LMP
Provider Business Mailing Address
First Line : 203 14TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 203 14TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5223
Country : US
Telephone Number : 206-381-3473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2010
Last Update Date : 12/03/2010

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Directions to “ CELENE NOLAN LMP” Practice Location

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