MEDICARE: LINDSEY DEANNE MILLS PA

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	363AM0700X	Medical Physician Assistant	PA60622721	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396933982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY DEANNE MILLS PA

Provider Business Mailing Address
First Line	:	5608 17TH AVE NW STE 1704
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5232
Country	:	US
Telephone Number	:	360-362-0336
Fax Number	:	866-336-7343

Provider Business Practice Location Address
First Line	:	5608 17TH AVE NW STE 1704
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5232
Country	:	US
Telephone Number	:	360-362-0336
Fax Number	:	866-336-7343

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

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	02/01/2024

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