Individual
MR. GREGORY T LEWERENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EAMP, LMP
Contact information
Practice address
4300 36TH AVE W, SUITE 130, SEATTLE, WA 98199-1675
(206) 856-4096
Mailing address
4300 36TH AVE W, SUITE 130, SEATTLE, WA 98199-1675
(206) 856-4096
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60114046
WA
225700000X
Massage Therapist
MA00023193
WA
Other
Enumeration date
11/19/2009
Last updated
11/04/2012
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