| Carmen Lasby Psyd | |
|
2105 112th Ave Ne Ste 200 Bellevue WA 98004-2945 | |
| (253) 642-6358 | |
| Not Available |
| Full Name | Carmen Lasby Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 2105 112th Ave Ne Ste 200, Bellevue, Washington |
| Authorized Official Name and Position | Carmen Danielle Lasby (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2536426358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Lasby Psyd Po Box 60223 Renton WA 98058-3223 Ph: (253) 642-6358 | Carmen Lasby Psyd 2105 112th Ave Ne Ste 200 Bellevue WA 98004-2945 Ph: (253) 642-6358 |
| NPI Number | 1548728744 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 7113251232 |
|---|---|
| Medicare Enrollment ID | O20190624002774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548728744 | NPI | - | NPPES |
| Provider Name | Carmen Danielle Lasby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780066381 PECOS PAC ID: 3375829989 Enrollment ID: I20170414000505 |
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