Provider Demographics
NPI:1033428032
Name:DING, LEI (EAMP, LAC, LMT)
Entity Type:Individual
Prefix:
First Name:LEI
Middle Name:
Last Name:DING
Suffix:
Gender:F
Credentials:EAMP, LAC, LMT
Other - Prefix:
Other - First Name:LEA
Other - Middle Name:DING
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15841 NE 49TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5214
Mailing Address - Country:US
Mailing Address - Phone:425-298-3819
Mailing Address - Fax:
Practice Address - Street 1:14042 NE 8TH ST, SUITE 210
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007
Practice Address - Country:US
Practice Address - Phone:425-298-3819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-25
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60175299171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist