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NPI Code Detail

MEDICARE: LEAH L KUYPER LMP

MEDICARE: LEAH L KUYPER LMP
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
1174400000XSpecialistMA 00024829WA

General Provider Information

NPI Number : 1750535886
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH L KUYPER LMP
Provider Business Mailing Address
First Line : 11508 20TH ST SE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-4751
Country : US
Telephone Number : 425-345-1933
Fax Number :
Provider Business Practice Location Address
First Line : 610 BEACH AVE STE 1
Second Line :
City : MARYSVILLE
State : WA
Zip : 98270-4571
Country : US
Telephone Number : 425-422-1558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2008
Last Update Date : 04/27/2022

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Directions to “ LEAH L KUYPER LMP” Practice Location

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