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Organization

LAKESIDE SPINE AND WELLNESS LLC

Active
Other names
Lakeside Spine and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW WINGER D.C. (OWNER)
(206) 852-7960
Entity
Organization

Contact information

Practice address
1800 NE 44TH ST STE 223, RENTON, WA 98056-9035
(206) 852-7960
Mailing address
2524 CAMAS AVE NE, RENTON, WA 98056-2226
(206) 852-7960

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
174400000X
Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386812469
NPI
01
1629035571
NPI
01
1972566529
NPI
Enumeration date
04/01/2008
Last updated
09/11/2023
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