Provider Demographics
NPI:1679836522
Name:NEGISHI-LAWRENCE, KUMIKO (MLP)
Entity Type:Individual
Prefix:
First Name:KUMIKO
Middle Name:
Last Name:NEGISHI-LAWRENCE
Suffix:
Gender:F
Credentials:MLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14617 SE 45TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-2425
Mailing Address - Country:US
Mailing Address - Phone:425-223-7683
Mailing Address - Fax:
Practice Address - Street 1:14700 NE 8TH ST
Practice Address - Street 2:#115
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4115
Practice Address - Country:US
Practice Address - Phone:425-644-8386
Practice Address - Fax:425-644-2520
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist