Healthcare Provider Details

I. General information

NPI: 1073571386
Provider Name (Legal Business Name): ENDOCRINE ASSOCIATES OF SPOKANE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 05/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 W 5TH AVE SUITE 570
SPOKANE WA
99204-2966
US

IV. Provider business mailing address

910 W 5TH AVE SUITE 570
SPOKANE WA
99204-2966
US

V. Phone/Fax

Practice location:
  • Phone: 509-777-5000
  • Fax: 509-777-0366
Mailing address:
  • Phone: 509-777-5000
  • Fax: 509-777-0366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: LYNN A KOHLMEIER
Title or Position: OWNER MEMBER
Credential: M.D.
Phone: 509-777-5000