Individual
MARY LUCIE RIEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(360) 738-2200
(360) 752-5282
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5282
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00027190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062RI
REGENCE
WA
01
—
0255167
L&I AND CRIME VICTIMS
WA
05
—
1093952563
—
WA
05
—
1301910
—
WA
01
—
9508080
AETNA
WA
Enumeration date
05/13/2008
Last updated
09/17/2010
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