DR. LAURENCE BRETT HERZOG M.D. NPI 1518072438

NPI Information

NPI: 1518072438
Provider Name: DR. LAURENCE BRETT HERZOG, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4815 N ASSEMBLY ST
CREDENTIAL'S OFFICE, SPOKANE VA MEDICAL CENTER
SPOKANE, WA
ZIP 99205
Phone: (509) 434-7344
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DR. Laurence Brett Herzog, M.D. is a diagnostic radiology radiology in Spokane, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Laurence Brett Herzog, M.D. NPI is 1518072438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4815 N ASSEMBLY ST
CREDENTIAL'S OFFICE, SPOKANE VA MEDICAL CENTER
SPOKANE, WA
ZIP 99205-185
Phone: (509) 434-7344
Fax: (509) 434-7195

The enumeration date for this NPI number is 8/20/2006 and was last updated on 3/25/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	00040181	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	33025F	MEDICARE ID-TYPE UNSPECIFIED
2	VAD000	MEDICARE UPIN

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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