Provider Demographics
NPI:1134919202
Name:MCCANN, MELANIE (LAC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14343 INTERLAKE AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7107
Mailing Address - Country:US
Mailing Address - Phone:361-945-1428
Mailing Address - Fax:
Practice Address - Street 1:8529 124TH AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5857
Practice Address - Country:US
Practice Address - Phone:425-803-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist