Healthcare Provider Details

I. General information

NPI: 1477874931
Provider Name (Legal Business Name): LEIGH MARGUERITE WILLIAMS L.M.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E HASTINGS RD STE G
SPOKANE WA
99218-4901
US

IV. Provider business mailing address

101 E. HASTINGS SUITE G
SPOKANE WASHINGTON
99208
UM

V. Phone/Fax

Practice location:
  • Phone: 509-340-3303
  • Fax:
Mailing address:
  • Phone: 509-340-3303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA60145216
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: