Healthcare Provider Details

I. General information

NPI: 1922777945
Provider Name (Legal Business Name): CHRISTOPHER LEMIG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9640B 16TH AVE SW
SEATTLE WA
98106-2827
US

IV. Provider business mailing address

11054 17TH AVE SW
SEATTLE WA
98146-2024
US

V. Phone/Fax

Practice location:
  • Phone: 206-747-1095
  • Fax:
Mailing address:
  • Phone: 206-747-1095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberHP60993368
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: