MEDICARE: HEIDI K LUCAS N.D.

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	175F00000X	Naturopath

General Provider Information

NPI Number	:	1477642049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI K LUCAS N.D.

Provider Business Mailing Address
First Line	:	1548 NW 62ND ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-2335
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 16TH AVE E
Second Line	:	2ND FLR
City	:	SEATTLE
State	:	WA
Zip	:	98112-5212
Country	:	US
Telephone Number	:	206-292-2277
Fax Number	:	206-292-2015

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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Directions to “ HEIDI K LUCAS N.D.” Practice Location

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