Basic Information
| Provider Information | |||||||||
| NPI: | 1144339078 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WANG | ||||||||
| FirstName: | LUCY | ||||||||
| MiddleName: | Y | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1660 S. COLUMBIAN WAY | ||||||||
| Address2: | S-116-MHC | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062775089 | ||||||||
| FaxNumber: | 2067642572 | ||||||||
| Practice Location | |||||||||
| Address1: | 1660 S. COLUMBIAN WAY | ||||||||
| Address2: | S-116-MHC | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062775089 | ||||||||
| FaxNumber: | 2067642572 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 01/31/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0805X | MD00045793 | WA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Geriatric Psychiatry |
No ID Information.