Lady-diaesha Latiesh Middleton-benjamin, LPN is a
Licensed Practical Nurse based in Kenmore, Washington. Lady-diaesha Latiesh Middleton-benjamin is licensed to practice in Washington (license number LP00050451) and her current practice location is
7214 Ne 155th St, Kenmore, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 617-4492.
NPI number for Lady-diaesha Latiesh Middleton-benjamin is 1679819437 and her current mailing address is 7214 Ne 155th St, Kenmore, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679819437.
Provider's Profile
Full Name | Lady-diaesha Latiesh Middleton-benjamin |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 7214 Ne 155th St, Kenmore, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679819437
- Provider Enumeration Date: 12/26/2012
- Last Update Date: 12/26/2012
Medical Identifiers
Medical identifiers for Lady-diaesha Latiesh Middleton-benjamin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679819437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP00050451 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lady-diaesha Latiesh Middleton-benjamin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lady-diaesha Latiesh Middleton-benjamin, LPN 7214 Ne 155th St, Kenmore, WA 98028-4637 Ph: (206) 617-4492 | Lady-diaesha Latiesh Middleton-benjamin, LPN 7214 Ne 155th St, Kenmore, WA 98028-4637 Ph: (206) 617-4492 |
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