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
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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