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NPI Code Detail

MEDICARE: ANGELA INGALSBE LMP

MEDICARE: ANGELA INGALSBE 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
1174400000XSpecialistMA00017576WA

General Provider Information

NPI Number : 1811148828
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA INGALSBE LMP
Provider Business Mailing Address
First Line : 3820 S 320TH ST
Second Line :
City : AUBURN
State : WA
Zip : 98001-3115
Country : US
Telephone Number : 253-839-2650
Fax Number : 253-839-4528
Provider Business Practice Location Address
First Line : 3820 S 320TH ST
Second Line :
City : AUBURN
State : WA
Zip : 98001-3115
Country : US
Telephone Number : 253-839-2650
Fax Number : 253-839-4528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 10/08/2008

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Directions to “ ANGELA INGALSBE LMP” Practice Location

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