LIBERTY LAKE FOOT & ANKLE PLLC NPI 1154988418

NPI Information

NPI: 1154988418
Provider Name: LIBERTY LAKE FOOT & ANKLE PLLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
23505 E APPLEWAY AVE STE 104
LIBERTY LAKE, WA
ZIP 99019
Phone: (509) 742-0093
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LIBERTY LAKE FOOT & ANKLE PLLC is a podiatric clinic center in Liberty Lake, WA. LIBERTY LAKE FOOT & ANKLE PLLC NPI is 1154988418. The provider is registered as an organization entity type.

The provider's business location address is:

23505 E APPLEWAY AVE STE 104
LIBERTY LAKE, WA
ZIP 99019-003
Phone: (509) 742-0093

The provider's authorized official is Kevin Dow .
The authorized official title is Dpm and has the following contact phone number (509) 742-0093.

The enumeration date for this NPI number is 5/22/2019 and was last updated on 5/22/2019.

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	261QP1100X	Clinic/Center	Podiatric			Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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