Provider Demographics
NPI:1376871038
Name:VALENT, LISA (ND)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:VALENT
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 1:504 29TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2430
Mailing Address - Country:US
Mailing Address - Phone:206-240-6070
Mailing Address - Fax:206-274-8365
Practice Address - Street 1:504 29TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2430
Practice Address - Country:US
Practice Address - Phone:206-240-6070
Practice Address - Fax:206-274-8365
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60066818175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath