Provider Demographics
NPI:1265554489
Name:MORICAL KURAMOTO, LESLEY (ND)
Entity type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:
Last Name:MORICAL KURAMOTO
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 1:2901 NE BLAKELEY ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3168
Mailing Address - Country:US
Mailing Address - Phone:206-268-0824
Mailing Address - Fax:206-238-9900
Practice Address - Street 1:2901 NE BLAKELEY ST STE 3B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3168
Practice Address - Country:US
Practice Address - Phone:206-268-0824
Practice Address - Fax:206-238-9900
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI80175F00000X
WANT60219602175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath