Provider Demographics
NPI:1548442171
Name:HOLMES, ELIZABETH (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 176TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-7522
Mailing Address - Country:US
Mailing Address - Phone:206-450-0650
Mailing Address - Fax:425-615-7186
Practice Address - Street 1:4025 176TH PL SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-7522
Practice Address - Country:US
Practice Address - Phone:206-450-0650
Practice Address - Fax:425-615-7186
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC677171100000X
WANT1025175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist