| Polly Lysen-halpern | |
|
3216 Ne 45th Pl Suite 212 Seattle WA 98105-4093 | |
| (206) 414-9992 | |
| (206) 452-3010 |
| Full Name | Polly Lysen-halpern |
|---|---|
| Speciality | Clinic/center |
| Location | 3216 Ne 45th Pl, Seattle, Washington |
| Authorized Official Name and Position | Pollyann Lysen-halpern (OWNER) |
| Authorized Official Contact | 2064149992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polly Lysen-halpern 3216 Ne 45th Pl Suite 212 Seattle WA 98105-4093 Ph: (206) 414-9992 | Polly Lysen-halpern 3216 Ne 45th Pl Suite 212 Seattle WA 98105-4093 Ph: (206) 414-9992 |
| NPI Number | 1023306149 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 07/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023306149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP30003688 (Washington) | Primary |
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