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NPI Code Detail

MEDICARE: LISA LAWRENCE GALEUCIA LMHC

MEDICARE: LISA LAWRENCE GALEUCIA LMHC
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
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1144629213
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA LAWRENCE GALEUCIA LMHC
Provider Business Mailing Address
First Line : 195 NE GILMAN BLVD STE 100
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 195 NE GILMAN BLVD STE 100
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2940
Country : US
Telephone Number : 425-295-7697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 01/29/2024

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Directions to “ LISA LAWRENCE GALEUCIA LMHC” Practice Location

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