MEDICARE: DR. LEANNA STANDISH N.D, LAC

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
1	171100000X	Acupuncturist	AC00000451	WA
2	175F00000X	Naturopath	NT00000645	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326108341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEANNA STANDISH N.D, LAC

Provider Business Mailing Address
First Line	:	PO BOX 94205
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-6505
Country	:	US
Telephone Number	:	206-834-4100
Fax Number	:	206-834-4131

Provider Business Practice Location Address
First Line	:	3670 STONE WAY N STE S201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8004
Country	:	US
Telephone Number	:	206-834-4100
Fax Number	:	206-834-4131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	03/23/2018

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Directions to “ DR. LEANNA STANDISH N.D, LAC” Practice Location

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