MEDICARE: DR. LINDSAY ANN MARIE WAIS 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	NT 60060007	WA

General Provider Information

NPI Number	:	1649410333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSAY ANN MARIE WAIS N.D.

Provider Business Mailing Address
First Line	:	PO BOX 513
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-0020
Country	:	US
Telephone Number	:	425-392-5321
Fax Number	:	425-837-3785

Provider Business Practice Location Address
First Line	:	465 RAINIER BLVD N
Second Line	:	SUITE A
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-2826
Country	:	US
Telephone Number	:	425-392-5321
Fax Number	:	425-837-3785

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

Provider Enumeration Date	:	02/20/2009
Last Update Date	:	02/20/2009

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