Individual provider · Type 1 NPI

Lai Min Theodora Fung

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1568043628 Active

Practice location

6200 13th Ave S
Seattle, WA 98108-2706

Call (206) 461-6943 Map

Mailing address

15002 122nd Pl NE
Kirkland, WA 98034-4545

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10 other providers at this address

Other student in an organized health care education/training program providers in Seattle

See all in Seattle →

About NPI 1568043628

Lai Min Theodora Fung's National Provider Identifier is 1568043628, issued on Apr 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Apr 19, 2021.