Family Medicine Liberty Lake
NPI #1790013175 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1790013175
- Entity Type
- Organization
- Organization Name
- Family Medicine Liberty Lake
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 24, 2009
- Last Updated
- Apr 30, 2015
Practice Location
- Address
- 2207 N MOLTER RD
- Address 2
- SUITE 203
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019-7570
- Phone
- (509) 928-6700
Authorized Official
- Name
- SUSAN LYNN ASHLEY, MD
- Title
- OWNER
- Phone
- (509) 720-4050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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