Provider Demographics
NPI:1497376834
Name:LECHNER, STACY RAE (ND)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:RAE
Last Name:LECHNER
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 1:19336 127TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2502
Mailing Address - Country:US
Mailing Address - Phone:405-614-2621
Mailing Address - Fax:
Practice Address - Street 1:19336 127TH AVE NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-2502
Practice Address - Country:US
Practice Address - Phone:405-614-2621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61057176175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath