Healthcare Provider Details

I. General information

NPI: 1477642049
Provider Name (Legal Business Name): HEIDI K LUCAS N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 16TH AVE E 2ND FLR
SEATTLE WA
98112-5212
US

IV. Provider business mailing address

1548 NW 62ND ST
SEATTLE WA
98107-2335
US

V. Phone/Fax

Practice location:
  • Phone: 206-292-2277
  • Fax: 206-292-2015
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: