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General NPI Number Information
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NPI Number | 1558092742
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Entity Type | Organization
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Legal Business Name | PAULA LANTSBERGER MD PLLC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 316 W BOONE AVE STE 268
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City | SPOKANE
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State | WA
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Zip | 99201-2346
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Country | US
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Telephone | 509-993-4714
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Fax | 509-537-0485
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Provider Business Mailing Address
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Address Line | 912 E DONEGAL AVE
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City | SPOKANE
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State | WA
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Zip | 99223-6220
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Country | US
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Telephone | 509-993-4714
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Fax | 509-537-0485
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAULA A LANTSBERGER
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Credential | MD
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Telephone | 509-993-4714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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