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NPI Code Detail

MEDICARE: JOHANNE ST LAURENT LEWIN ARNP

MEDICARE: JOHANNE ST LAURENT LEWIN ARNP
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
1363L00000XNurse PractitionerAP30006875WA
2363LF0000XFamily Nurse PractitionerAP30006875WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20216066OTHERWAL&I PIN
350587UOTHERWAREGENCE PIN

General Provider Information

NPI Number : 1508826710
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNE ST LAURENT LEWIN ARNP
Provider Business Mailing Address
First Line : 325 9TH AVE
Second Line : BOX 359898
City : SEATTLE
State : WA
Zip : 98104-2499
Country : US
Telephone Number : 206-744-5862
Fax Number : 206-744-6046
Provider Business Practice Location Address
First Line : 325 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2499
Country : US
Telephone Number : 206-744-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 06/27/2011

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Directions to “ JOHANNE ST LAURENT LEWIN ARNP” Practice Location

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