Provider Demographics
NPI:1316107352
Name:FINE, LINA (MD, MPHIL)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:FINE
Suffix:
Gender:F
Credentials:MD, MPHIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 17TH AVE
Mailing Address - Street 2:FLOOR A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5788
Mailing Address - Country:US
Mailing Address - Phone:206-386-4744
Mailing Address - Fax:206-215-1135
Practice Address - Street 1:550 17TH AVE
Practice Address - Street 2:FLOOR A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5788
Practice Address - Country:US
Practice Address - Phone:206-386-4744
Practice Address - Fax:206-215-1135
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2346342084P0800X
WAMD601658252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry