MARY LUCIE RIEDERER MD NPI 1093982563

NPI Information

NPI: 1093982563
Provider Name: MARY LUCIE RIEDERER, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
2901 SQUALICUM PKWY
BELLINGHAM, WA
ZIP 98225
Phone: (360) 738-2200
Get Directions

Mary Lucie Riederer, MD is an obstetrics gynecology in Bellingham, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mary Lucie Riederer, MD NPI is 1093982563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 SQUALICUM PKWY
BELLINGHAM, WA
ZIP 98225-851
Phone: (360) 738-2200
Fax: (360) 752-5282

The enumeration date for this NPI number is 5/13/2008 and was last updated on 9/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		MD00027190	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8889381	MEDICARE PIN	WASHINGTON
2	9508080	OTHER	WASHINGTON	AETNA
3	A44554	MEDICARE UPIN	WASHINGTON
4	1301910	MEDICAID	WASHINGTON
5	0062RI	OTHER	WASHINGTON	REGENCE
6	1093952563	MEDICAID	WASHINGTON
7	0255167	OTHER	WASHINGTON	L&I AND CRIME VICTIMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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