Healthcare Provider Details

I. General information

NPI: 1598510646
Provider Name (Legal Business Name): LASHON WILLIAMS MOTON LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W 5TH AVE
SPOKANE WA
99204-2803
US

IV. Provider business mailing address

16511 E SPRAGUE AVE UNIT D11
SPOKANE VALLEY WA
99037-5142
US

V. Phone/Fax

Practice location:
  • Phone: 509-603-5800
  • Fax:
Mailing address:
  • Phone: 509-993-3268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number261039
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: