Individual
LINDSAY JEAN RAVENSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5214 DELRIDGE WAY SW, #105, SEATTLE, WA 98106-1376
(206) 295-3974
Mailing address
8627 12TH AVE SW, #105, SEATTLE, WA 98106-2405
(206) 295-3974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023926
WA
Other
Enumeration date
09/28/2007
Last updated
07/06/2015
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