Individual
DR. ALEXEI V LISSOUNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 W 5TH AVE STE 200W, SPOKANE, WA 99204-4803
(509) 744-3750
Mailing address
104 W 5TH AVE STE 200W, SPOKANE, WA 99204-4803
(509) 744-3750
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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