Ms Lydia Heeeun Doublestein, CM, IBCLC is a
Behavior Technician based in Federal Way, Washington. Ms Lydia Heeeun Doublestein is licensed to practice in * (Not Available) (license number ) and her current practice location is
720 S 333rd St Ste 130, Federal Way, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 766-5156.
NPI number for Ms Lydia Heeeun Doublestein is 1083130728 and her current mailing address is 1940 Oakwood Dr, Fort Collins, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083130728.
Provider's Profile
| Full Name | Ms Lydia Heeeun Doublestein |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 720 S 333rd St Ste 130, Federal Way, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083130728
- Provider Enumeration Date: 08/15/2017
- Last Update Date: 02/17/2022
Medical Identifiers
Medical identifiers for Ms Lydia Heeeun Doublestein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083130728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 001802 (New York) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | L-159665 (* (Not Available)) | Secondary |
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. Ms Lydia Heeeun Doublestein 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 |
|---|
Ms Lydia Heeeun Doublestein, CM, IBCLC
1940 Oakwood Dr,
Fort Collins, CO 80521-4344
Ph: (231) 675-8561 | Ms Lydia Heeeun Doublestein, CM, IBCLC
720 S 333rd St Ste 130,
Federal Way, WA 98003-7357
Ph: (253) 766-5156 |
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