Provider Demographics
NPI:1336492784
Name:LESNAK, EMILY (ND)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LESNAK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4437 46TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116
Mailing Address - Country:US
Mailing Address - Phone:218-969-5322
Mailing Address - Fax:206-922-5322
Practice Address - Street 1:WEST SEATTLE NATURAL MEDICINE
Practice Address - Street 2:3256 CALIFORNIA AVE SW
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116
Practice Address - Country:US
Practice Address - Phone:206-938-1393
Practice Address - Fax:206-922-5322
Is Sole Proprietor?:No
Enumeration Date:2012-10-23
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60312519175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath