Provider Demographics
NPI:1295099398
Name:WITHERSPOON, LESLEY HANCOCK (ND)
Entity type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:HANCOCK
Last Name:WITHERSPOON
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1904 3RD AVE
Mailing Address - Street 2:SUITE 335
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1193
Mailing Address - Country:US
Mailing Address - Phone:206-910-6176
Mailing Address - Fax:888-972-6907
Practice Address - Street 1:2730 WESTLAKE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-1916
Practice Address - Country:US
Practice Address - Phone:206-352-9000
Practice Address - Fax:206-588-1556
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60286861175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath