Lanegraff, Millicent

Lanegraff, Millicent is an individual health care provider with primary practice located at 17311 135Th Ave Ne Ste A700, Woodinville WA 98072-3519. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lanegraff, Millicent can be contacted via phone (425) 488-4944.

Contact Information

Primary practice address
17311 135Th Ave Ne Ste A700 Woodinville WA 98072-3519
Fax: (425) 488-4942
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AP30000768 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30000768 Washington

Profile Details

NPI number 1710984737
LBN Legal business name Lanegraff, Millicent
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jan 7th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710984737 NPPES
Washington MEDICAID 9614298

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