Provider Demographics
NPI:1598716144
Name:LESAGE, HUI-YING THERESA (MD)
Entity Type:Individual
Prefix:
First Name:HUI-YING
Middle Name:THERESA
Last Name:LESAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HUI-YING
Other - Middle Name:THERESA
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:873 HINOTES CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-9043
Mailing Address - Country:US
Mailing Address - Phone:360-318-9705
Mailing Address - Fax:360-318-8735
Practice Address - Street 1:2075 BARKLEY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6614
Practice Address - Country:US
Practice Address - Phone:360-671-3345
Practice Address - Fax:360-650-1354
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00034049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3976LEOtherREGENCE
WA8210890Medicaid
WAG53731Medicare UPIN
WAG8860597Medicare PIN