Healthcare Provider Details

I. General information

NPI: 1063349686
Provider Name (Legal Business Name): LUMEN ENDOCRINOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON ST STE 1450
SEATTLE WA
98104-3538
US

IV. Provider business mailing address

1229 MADISON ST STE 1450
SEATTLE WA
98104-3538
US

V. Phone/Fax

Practice location:
  • Phone: 425-686-9289
  • Fax: 206-260-7324
Mailing address:
  • Phone: 425-686-9289
  • Fax: 206-260-7324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEAN JACQUES NYA NGATCHOU
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 425-686-9289