Provider Demographics
NPI:1821289349
Name:LINAMEN, ANGELA CARA (LAC LMP)
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:CARA
Last Name:LINAMEN
Suffix:
Gender:F
Credentials:LAC LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7413 GREENWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5043
Mailing Address - Country:US
Mailing Address - Phone:206-290-2850
Mailing Address - Fax:
Practice Address - Street 1:7413 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5043
Practice Address - Country:US
Practice Address - Phone:206-290-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002712171100000X
WAMA00020908174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist