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Individual

TRENT I LENGL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
820 S MCCLELLAN ST, SUITE 426, SPOKANE, WA 99204-2457
(509) 456-8444
(509) 455-9227
Mailing address
5503 N TIMBER RIM DR, SPOKANE VALLEY, WA 99212-1668
(509) 921-6804
(509) 455-9227

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004284
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030170
WA
Enumeration date
01/23/2007
Last updated
03/06/2012
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