Acuesta, Lourdes Mancol
Acuesta, Lourdes Mancol is an individual health care provider with primary practice located at 1500 Fairview Ave E Suite 302, Seattle WA 98102-3727. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Acuesta, Lourdes Mancol can be contacted via phone (206) 322-7706.Contact Information
Primary practice address
1500 Fairview Ave E Suite 302
Seattle WA 98102-3727
Phone: (206) 322-7706
Fax: (206) 329-5214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00005777 | Washington |
Profile Details
| NPI number | 1891804829 |
|---|---|
| LBN Legal business name | Acuesta, Lourdes Mancol |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891804829 | NPPES |
| Washington | MEDICAID | 5000393 |
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