Individual provider · Type 1 NPI
Erica Lynn Black, LMP
Specialist · Seattle, WA
NPI number
1225275407
Active
Practice location
2629 SW Andover St
Seattle, WA 98126-2591
Fax (866) 281-8349
Mailing address
4728 Delridge Way SW
Seattle, WA 98106-1329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60066922 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1225275407
Erica Lynn Black, LMP's National Provider Identifier is 1225275407, issued on Jan 9, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seattle, WA. The record was last updated on Dec 2, 2009.