Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60187892 | WA |
NPI | 1083976559 |
---|---|
Provider Name | Dr. Katie Lundberg |
First Address | Kirkland, WA 98034-2953 |
Second Address | Kirkland, WA 98034-7210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2012 |
Last Update Date | 27/11/2019 |