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Organization
LA LUNE INTEGRATIVE PSYCHIATRY PLLC
Active
Organization
LA LUNE INTEGRATIVE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELITA WONG NP (OWNER, NURSE PRACTITIONER)
(206) 531-7844
Entity
Organization
Contact information
Practice address
522 W RIVERSIDE AVE STE 4117, SPOKANE, WA 99201-0580
(206) 531-7844
(503) 386-3252
Mailing address
522 W RIVERSIDE AVE STE 4117, SPOKANE, WA 99201-0580
(206) 531-7844
(503) 386-3252
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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