Healthcare Provider Details

I. General information

NPI: 1245023340
Provider Name (Legal Business Name): LANXIN DENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 112TH AVE NE STE 206
BELLEVUE WA
98004-3759
US

IV. Provider business mailing address

23990 SE 10TH ST
SAMMAMISH WA
98075-8134
US

V. Phone/Fax

Practice location:
  • Phone: 425-754-5135
  • Fax:
Mailing address:
  • Phone: 425-633-0993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: