Provider Demographics
NPI:1649410333
Name:WAIS, LINDSAY ANN MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ANN MARIE
Last Name:WAIS
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:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0020
Mailing Address - Country:US
Mailing Address - Phone:425-392-5321
Mailing Address - Fax:425-837-3785
Practice Address - Street 1:465 RAINIER BLVD N
Practice Address - Street 2:SUITE A
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2826
Practice Address - Country:US
Practice Address - Phone:425-392-5321
Practice Address - Fax:425-837-3785
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60060007175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath