Individual
LEAH LYNNE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
720 S MAIN ST, COLVILLE, WA 99114-2508
(509) 684-2120
Mailing address
720 S MAIN ST, COLVILLE, WA 99114-2508
(509) 684-2120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HA60389505
WA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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