Individual
LAURA A BONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 S MCCLELLAN ST STE 300, SPOKANE, WA 99204-2450
(509) 838-7100
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3568
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD60462413
WA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
53688-20
WI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD60462413
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2008
Last updated
07/21/2021
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