Healthcare Provider Details

I. General information

NPI: 1396788311
Provider Name (Legal Business Name): LISA MARIN SOMMERS SZCZEPANSKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA MARIN SOMMERS M.D.

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 E FRONT AVE
SPOKANE WA
99202-2139
US

IV. Provider business mailing address

624 E FRONT AVE
SPOKANE WA
99202-2139
US

V. Phone/Fax

Practice location:
  • Phone: 509-626-9900
  • Fax:
Mailing address:
  • Phone: 866-747-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number43045
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD70108028
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD70108028
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: