Provider Demographics
NPI:1841463270
Name:LEA, JULIA A (LMP)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:A
Last Name:LEA
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1702 4TH AVE E
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4534
Mailing Address - Country:US
Mailing Address - Phone:360-352-2488
Mailing Address - Fax:360-943-5156
Practice Address - Street 1:7138 ENGLEWOOD DR SE UNIT 34
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-6362
Practice Address - Country:US
Practice Address - Phone:360-352-2488
Practice Address - Fax:360-943-5156
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist