Ms Lydia Heeeun Doublestein, CM, IBCLC in Federal Way, WA - Behavior Technician

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.

Contact Information

	Ms Lydia Heeeun Doublestein, CM, IBCLC
	720 S 333rd St Ste 130, Federal Way, WA 98003-7357
	(253) 766-5156
	Not Available

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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Ms Lydia Heeeun Doublestein, CM, IBCLC - Behavior Technician in Federal Way, WA