Lisbeth Brucknr Lord
Occupational Therapist
3010 Ne 113th St
Seattle
, Washington 98125-6847
Lisbeth Brucknr Lord
Occupational Therapist
3010 Ne 113th St
Seattle
, Washington 98125-6847
(206) 498-2532
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Lisbeth Brucknr Lord
- 3010 Ne 113th St
- Seattle, WA
- Zip : 98125-6847
- Phone : (206) 498-2532
Second Address
- Lisbeth Brucknr Lord
- 3010 Ne 113th St
- Seattle, WA
- Zip : 98125-6847
- Phone : (206) 498-2532
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT 00001417 | WA |
National Provider Identifier
| NPI | 1003156365 |
|---|---|
| Provider Name | Lisbeth Brucknr Lord |
| First Address | Seattle, WA 98125-6847 |
| Second Address | Seattle, WA 98125-6847 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2013 |
| Last Update Date | 25/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| OT 00001417 | WASHINGTON STATE DEPARTMENT OF HEALTH (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.