Provider Demographics
NPI:1033386248
Name:SMYTHE, LEONA ELAINE (MT(ASCP))
Entity Type:Individual
Prefix:MS
First Name:LEONA
Middle Name:ELAINE
Last Name:SMYTHE
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:MS
Other - First Name:LEE
Other - Middle Name:ELAINE
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT(ASCP)
Mailing Address - Street 1:4115 S 280TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-1312
Mailing Address - Country:US
Mailing Address - Phone:206-754-1010
Mailing Address - Fax:
Practice Address - Street 1:4115 S 280TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-1312
Practice Address - Country:US
Practice Address - Phone:206-764-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTA21397246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory