MEDICARE: LUCAS HERRIG

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1922825595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCAS HERRIG

Provider Business Mailing Address
First Line	:	711 6TH AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-4213
Country	:	US
Telephone Number	:	206-501-3730
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 6TH AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-4213
Country	:	US
Telephone Number	:	206-501-3730
Fax Number	:

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

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	09/24/2024

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Directions to “ LUCAS HERRIG ” Practice Location

Language	Start Address	Practice Location

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