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NPI Code Detail

MEDICARE: LOUIS JUSTIN NEEDLEMAN DO

MEDICARE: LOUIS JUSTIN NEEDLEMAN DO
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
1207Q00000XFamily Medicine PhysicianOP61395758WA

General Provider Information

NPI Number : 1881221471
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUIS JUSTIN NEEDLEMAN DO
Provider Business Mailing Address
First Line : 1145 BROADWAY
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4201
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 9709 3RD AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2062
Country : US
Telephone Number : 206-329-1760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 04/07/2026

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Directions to “ LOUIS JUSTIN NEEDLEMAN DO” Practice Location

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