Individual ProviderLucie Le NguyenMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454(425) 427-6562(425) 524-5569PECOS EnrollmentBased on the most recent information from CMS, provider Lucie Le Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1891348751Provider TypeIndividualFull NameLe Nguyen, LucieTitleMrs.CredentialMA60973652GenderFemaleSole ProprietorYesEnumeration Date7/19/2019Last Updated7/19/2019Contact InformationPractice LocationPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address3102 SE 3rd St, Renton, WA 98056-5818Phone(425) 524-5569FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60973652WashingtonProvider IdentifiersIDDescriptionIssuerIDMA60973652DescriptionOtherIssuerLICENSED MASSAGE THERAPISTWashington