Individual
MS. SHANNA R LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP, CH
Contact information
Practice address
60 LAKE SHORE PLZ, SUITE 3, KIRKLAND, WA 98033-3716
(425) 827-3250
Mailing address
PO BOX 967, KIRKLAND, WA 98083
(206) 313-7711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13199
WA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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