Provider Demographics
NPI:1659481612
Name:SMITH, LUCY MARIA (ND)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:MARIA
Last Name:SMITH
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 1:18528 FIRLANDS WAY N
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3985
Mailing Address - Country:US
Mailing Address - Phone:206-546-6000
Mailing Address - Fax:206-546-6022
Practice Address - Street 1:18528 FIRLANDS WAY N
Practice Address - Street 2:SUITE B
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3985
Practice Address - Country:US
Practice Address - Phone:206-546-6000
Practice Address - Fax:206-546-6022
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA622175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath