MEDICARE: DR. LISA VALENT N.D.

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	175F00000X	Naturopath	NT60066818	WA

General Provider Information

NPI Number	:	1376871038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA VALENT N.D.

Provider Business Mailing Address
First Line	:	504 29TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2430
Country	:	US
Telephone Number	:	206-240-6070
Fax Number	:	206-274-8365

Provider Business Practice Location Address
First Line	:	504 29TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2430
Country	:	US
Telephone Number	:	206-240-6070
Fax Number	:	206-274-8365

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

Provider Enumeration Date	:	11/18/2009
Last Update Date	:	11/18/2009

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Directions to “ DR. LISA VALENT N.D.” Practice Location

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