Individual
TERESA MARIE LIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
20 W MAIN AVE, SUITE 200, SPOKANE, WA 99201-0172
(509) 747-9200
Mailing address
1608 W 9TH AVE, SPOKANE, WA 99204-3407
(509) 838-8082
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014645
WA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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