CENTER FOR LIFESTYLE MEDICINE AND HORMONE HEALTH PS (NPI# 1265456644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265456644 |
| Entity Type | Organization |
| Organization Name | CENTER FOR LIFESTYLE MEDICINE AND HORMONE HEALTH PS |
| Practice Address |
820 S Mcclellan St Suite 433 Spokane WA 99204-2457 |
| Practice Telephone | 5094565433 |
| Practice Fax Number | 5094563557 |
| Mailing Telephone | 5094565433 |
| Mailing Fax Number | 5094563557 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISANNE G LAURIER (DR.) |
| Authorized Official Telephone | 5054565433 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00042914 | WA | Other Service Providers |
| Street Address |
820 S MCCLELLAN ST SUITE 433 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662530 | Lisa Bess Christian | Psychologist | 820 S Mcclellan St, Spokane, WA 99204-2457 | 2005-07-13 |
| 1568907244 | Mark Ingoldby | Social Worker | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2457 | 2017-01-04 |
| 1386006427 | Elizabeth Marie Gilroy | Registered Nurse | 820 S Mcclellan St, Spokane, WA 99204-2457 | 2016-03-28 |
| 1144652652 | Gargi Ganguly | Internal Medicine | 820 S Mcclellan St, Suite 500, Spokane, WA 99204-2457 | 2013-08-07 |
| 1124462478 | Caitlin Jane Allen | Internal Medicine | 820 S Mcclellan St, Suite 500, Spokane, WA 99204-2457 | 2013-04-17 |
| 1538464060 | Kaushik Chatterjee | Internal Medicine | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2457 | 2011-01-13 |
| 1659689768 | Vincint L. Sprung | Physician Assistant | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2457 | 2010-09-23 |
| 1609193374 | Providence Physician Services Co | Orthopaedic Surgery | 820 S Mcclellan St, Ste 300, Spokane, WA 99204-2457 | 2010-04-21 |
| 1952636672 | Cameron Chesnut | Dermatology | 820 S Mcclellan St, Suite 426, Spokane, WA 99204-2457 | 2009-10-14 |
| 1578712923 | Danny Lee Jones II | Physician Assistant | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2457 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811358310 | Gwendolyn Ammon | Specialist | 3910 N Wall St, #2, Spokane, WA 99205-5021 | 2016-03-10 |
| 1215319900 | Sarah Wood | Specialist | 8606 N Wall St Ste 200, Spokane, WA 99218-2034 | 2015-06-18 |
| 1801289970 | Amanda Kasper | Specialist | 619 W Persimmon Ln, Spokane, WA 99224-8435 | 2015-03-12 |
| 1306288170 | Orthopaedic Neurologic Evaluations | Specialist | 8506 N Wall St, Spokane, WA 99208-6164 | 2013-07-22 |
| 1932549813 | Loree Kidder | Specialist | 2112 W Mallon Ave, Spokane, WA 99201-1660 | 2013-06-25 |
| 1225377872 | Teresa Lynn Skinner | Specialist | 3407 W 7th Ave, Spokane, WA 99224-1905 | 2013-02-01 |
| 1598018855 | Clarisa Marie Schielke | Specialist | 5222 S Magnolia St, Spokane, WA 99223-6529 | 2012-10-23 |
| 1952654865 | Laura May Hamilton | Specialist | 200 North Bernard, Spokane Public Schools, Administration, Spokane, WA 99201-0206 | 2012-10-17 |
| 1699028514 | Milisa Mary Bailey | Specialist | 1001 E Montgomery Ave, Spokane, WA 99207-2674 | 2012-10-16 |
| 1003170523 | Angelo G. Lurus | Specialist | 5805 E 21st Ave, Spokane, WA 99223-2308 | 2012-06-29 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.