# SPOKANE AUDIOLOGY CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063696946
- **Authorized official:** DR. LESLY LOISEAU AU.D. (CEO)
- **Authorized official phone:** (509) 835-5111

## Contact information

- **Practice address:** 801 W 5TH AVE, DMOB SUITE 112, SPOKANE, WA 99204-2823
- **Practice address phone:** (509) 835-5111
- **Practice address fax:** (509) 835-5222
- **Mailing address:** 801 W 5TH AVE, DMOB SUITE 112, SPOKANE, WA 99204-2823
- **Mailing address phone:** (509) 835-5111
- **Mailing address fax:** (509) 835-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | LD00002435 | WA | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 12/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7132756 | — | WA |