Provider Demographics
NPI:1073345716
Name:LB PSYCHIATRY
Entity type:Organization
Organization Name:LB PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LESYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-893-9679
Mailing Address - Street 1:28037 121ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-8525
Mailing Address - Country:US
Mailing Address - Phone:503-893-9960
Mailing Address - Fax:239-268-9679
Practice Address - Street 1:28037 121ST AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-8525
Practice Address - Country:US
Practice Address - Phone:503-893-9960
Practice Address - Fax:239-268-9679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty