Raymond, Licia Lynn
Raymond, Licia Lynn is an individual health care provider with primary practice located at 751 Ne Blakely Dr Ste 2030 , Issaquah WA 98029-6201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Raymond, Licia Lynn can be contacted via phone (425) 313-7080.Contact Information
Primary practice address
751 Ne Blakely Dr Ste 2030
Issaquah WA 98029-6201
Phone: (425) 313-7080
Fax: (425) 313-7071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60660120 | Washington |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 238127 | Massachusetts |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 4301055550 | Michigan |
Profile Details
| NPI number | 1295751170 |
|---|---|
| LBN Legal business name | Raymond, Licia Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295751170 | NPPES |
| Massachusetts | MEDICAID | 2170728 |
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