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NPI Code Detail

MEDICARE: LOUSEIORIANA NAOMINELLIE LUI SUDPT

MEDICARE: LOUSEIORIANA NAOMINELLIE LUI SUDPT
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCO61417972WA

General Provider Information

NPI Number : 1922965110
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUSEIORIANA NAOMINELLIE LUI SUDPT
Provider Business Mailing Address
First Line : 10001 17TH PL S
Second Line :
City : SEATTLE
State : WA
Zip : 98168-1615
Country : US
Telephone Number : 206-766-6996
Fax Number : 206-766-6979
Provider Business Practice Location Address
First Line : 10001 17TH PL S
Second Line :
City : SEATTLE
State : WA
Zip : 98168-1615
Country : US
Telephone Number : 206-766-6996
Fax Number : 206-766-6979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ LOUSEIORIANA NAOMINELLIE LUI SUDPT” Practice Location

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