Individual
LACEY L SIEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006526
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039573
LABOR AND INDUSTRIES #
WA
01
—
7632CA
BLUE SHIELD #
WA
05
—
9639352
—
WA
01
—
P00088317
RAILROAD MC#
WA
01
—
US7161430
AETNA SPECIALIST PIN
WA
Enumeration date
01/09/2007
Last updated
04/11/2008
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