Individual
LAURIE ELLEN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
601 W 1ST AVE, SPOKANE, WA 99201-3825
(509) 232-8160
(509) 232-8392
Mailing address
PO BOX 469, SPOKANE, WA 99210-0469
(509) 232-8160
(509) 232-8392
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001404
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122724
—
WA
01
—
P00161890
RAILROAD MEDICARE
WA
Enumeration date
10/19/2006
Last updated
12/28/2011
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