LAI MIN THEODORA FUNG
NPI 1568043628
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 19, 2021
6200 13TH AVE S, SEATTLE, WA 98108(206) 461-6943 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lai Min Theodora Fung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAI MIN THEODORA FUNG (NPI 1568043628) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1568043628
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAI MIN THEODORA FUNG
Location Address6200 13TH AVE SSeattle, WA 98108-2706
Mailing Address15002 122nd Pl NeKirkland, WA 98034-4545
Sole ProprietorYes
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
NPI 1568043628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6200 13TH AVE S, Seattle, WA 98108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
6200 13TH AVE S
SEATTLE, WA 98108
Clinic/Center (Federally Qualified Health Center (FQHC))
6200 13TH AVE S
SEATTLE, WA 98108
Dental Hygienist
6200 13TH AVE S
SEATTLE, WA 98108
Dentist (General Practice)
6200 13TH AVE S
SEATTLE, WA 98108
Dental Hygienist
6200 13TH AVE S
SEATTLE, WA 98108
Dentist (General Practice)
6200 13TH AVE S
SEATTLE, WA 98108
Student in an Organized Health Care Education/Training Program
6200 13TH AVE S
SEATTLE, WA 98108
Dentist (General Practice)
6200 13TH AVE S
SEATTLE, WA 98108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lai Min Theodora Fung's NPI number?

The NPI number for Lai Min Theodora Fung is 1568043628. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Lai Min Theodora Fung located?

Lai Min Theodora Fung practices at 6200 13th Ave S, Seattle, WA 98108. The listed phone number is (206) 461-6943.

What is Lai Min Theodora Fung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lai Min Theodora Fung was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.