Provider Demographics
NPI:1144482613
Name:LUI, MICHELLE N (D,C,)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:N
Last Name:LUI
Suffix:
Gender:F
Credentials:D,C,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18820 AURORA AVE N
Mailing Address - Street 2:STE 102
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3900
Mailing Address - Country:US
Mailing Address - Phone:206-633-5556
Mailing Address - Fax:206-633-5559
Practice Address - Street 1:4347 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4717
Practice Address - Country:US
Practice Address - Phone:206-633-5556
Practice Address - Fax:206-633-5559
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60020387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor