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Individual

HEIDI LYNNE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
20 LAPSLEY DR, DUPONT, WA 98327-9512
(253) 370-5533
Mailing address
20 LAPSLEY DR, DUPONT, WA 98327-9512
(253) 370-5533

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014297
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135253
DEPARTMENT OF L & I
WA
01
2022LE
REGENCE BLUESHIELD
WA
Enumeration date
11/04/2006
Last updated
07/08/2007
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