Individual
LORENA MARGARET DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22820 E APPLEWAY AVE STE A, LIBERTY LAKE, WA 99019
(509) 220-3048
Mailing address
16503 W SUMMERFIELD RD, POST FALLS, ID 83854-5756
(626) 422-5227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60869331
WA
Other
Enumeration date
07/18/2018
Last updated
08/21/2018
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