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NPI Code Detail

MEDICARE: MR. LAINE DEAN HUGHES NP

MEDICARE:  MR. LAINE DEAN HUGHES  NP
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
1363LF0000XFamily Nurse PractitionerAP30006354WA
2363LF0000XFamily Nurse PractitionerNP585AID

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 : 1568459816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LAINE DEAN HUGHES NP
Provider Business Mailing Address
First Line : PO BOX 421
Second Line :
City : LIBERTY LAKE
State : WA
Zip : 99019-0421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1414 N VERCLER RD STE 1
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-1092
Country : US
Telephone Number : 509-928-6383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 09/23/2024

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Directions to “ MR. LAINE DEAN HUGHES NP” Practice Location

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