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NPI Code Detail

MEDICARE: NATALIE WILLITS LAC

MEDICARE:   NATALIE  WILLITS  LAC
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
1171100000XAcupuncturistAC60722112WA

General Provider Information

NPI Number : 1992240790
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE WILLITS LAC
Provider Business Mailing Address
First Line : 1017 W NICKERSON ST APT 34
Second Line :
City : SEATTLE
State : WA
Zip : 98119-1403
Country : US
Telephone Number : 206-930-1844
Fax Number :
Provider Business Practice Location Address
First Line : 450 NW GILMAN BLVD STE 201
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2722
Country : US
Telephone Number : 425-835-2503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2017
Last Update Date : 01/03/2017

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Directions to “ NATALIE WILLITS LAC” Practice Location

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