Provider Demographics
NPI:1235356809
Name:VOLL, DENISE LYNNE (LAC)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:LYNNE
Last Name:VOLL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:LYNNE
Other - Last Name:FIEDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:630 SW 149TH ST.
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166
Mailing Address - Country:US
Mailing Address - Phone:206-244-2471
Mailing Address - Fax:206-241-7677
Practice Address - Street 1:630 SW 149TH ST.
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166
Practice Address - Country:US
Practice Address - Phone:206-244-2471
Practice Address - Fax:206-241-7677
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000810171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist