MEDICARE: LORIE A. KLAHN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN00083388	WA
2	363LF0000X	Family Nurse Practitioner	AP30002575	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	166764	OTHER	WA	DEPT. OF L & I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003854910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORIE A. KLAHN ARNP

Provider Business Mailing Address
First Line	:	PO BOX 3649
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99220-3649
Country	:	US
Telephone Number	:	509-838-2531
Fax Number	:

Provider Business Practice Location Address
First Line	:	10414 W HIGHWAY 2
Second Line	:	SUITES 10 & 11
City	:	SPOKANE
State	:	WA
Zip	:	99224-5348
Country	:	US
Telephone Number	:	509-838-2531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	03/07/2023

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