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NPI Code Detail

MEDICARE: SUSAN M LAING MD

MEDICARE: SUSAN M LAING MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianM8170ID
22085R0001XRadiation Oncology PhysicianMD0093291WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2920006873OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164414785
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M LAING MD
Provider Business Mailing Address
First Line : PO BOX 3868
Second Line :
City : SPOKANE
State : WA
Zip : 99220-3868
Country : US
Telephone Number : 509-228-1000
Fax Number : 509-252-9300
Provider Business Practice Location Address
First Line : 5633 N LIDGERWOOD ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1224
Country : US
Telephone Number : 509-228-1000
Fax Number : 509-252-9300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 03/24/2017

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