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NPI Code Detail

MEDICARE: DR. LAURIE SUMMERS M.D.

MEDICARE:  DR. LAURIE  SUMMERS  M.D.
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
1207Q00000XFamily Medicine PhysicianMD00029432WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080059426OTHERWARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3185477OTHERWAL&I

General Provider Information

NPI Number : 1073583670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURIE SUMMERS M.D.
Provider Business Mailing Address
First Line : PO BOX 421
Second Line :
City : LIBERTY LAKE
State : WA
Zip : 99019-0421
Country : US
Telephone Number : 866-747-2455
Fax Number : 509-227-7070
Provider Business Practice Location Address
First Line : 212 E CENTRAL AVE
Second Line : SUITE 440
City : SPOKANE
State : WA
Zip : 99208-6291
Country : US
Telephone Number : 509-252-9602
Fax Number : 509-227-7070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 03/19/2021

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Directions to “ DR. LAURIE SUMMERS M.D.” Practice Location

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