Lasalle, Lydia June

Lasalle, Lydia June is an individual health care provider with primary practice located at 916 S 3Rd St , Mount Vernon WA 98273-4324. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Lasalle, Lydia June can be contacted via phone (360) 336-5658.

Contact Information

Primary practice address
916 S 3Rd St Mount Vernon WA 98273-4324
Fax: (360) 336-5658
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X NT60796398 Washington

Profile Details

NPI number 1538684667
LBN Legal business name Lasalle, Lydia June
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2017
Last updated May 21st, 2024 - about 7 months 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 1538684667 NPPES
Washington MEDICAID 2089045

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