Provider Demographics
NPI:1003258989
Name:LESTER, SUZANNA GALE (LMP)
Entity Type:Individual
Prefix:MS
First Name:SUZANNA
Middle Name:GALE
Last Name:LESTER
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Gender:F
Credentials:LMP
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Mailing Address - Street 1:7100 FUN CENTER WAY #120
Mailing Address - Street 2:WASHINGTON CHIROPRACTIC, PLLC
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188
Mailing Address - Country:US
Mailing Address - Phone:425-251-3101
Mailing Address - Fax:425-228-6566
Practice Address - Street 1:7100 FUN CENTER WAY #120
Practice Address - Street 2:WASHINGTON CHIROPRACTIC, PLLC
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188
Practice Address - Country:US
Practice Address - Phone:425-251-3101
Practice Address - Fax:425-228-6566
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA60322273225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist