Individual
MR. JUSTIN THOMAS LELBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P
Contact information
Practice address
2408 E WELLESLEY AVE, SPOKANE, WA 99217-5966
(509) 270-2387
Mailing address
2408 E WELLESLEY AVE, SPOKANE, WA 99217-5966
(509) 270-2387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60197157
WA
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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