Organization
LA LUNE INTEGRATIVE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELITA WONG NP (OWNER, NURSE PRACTITIONER)
(206) 531-7844
Entity
Organization
Contact information
Practice address
522 W RIVERSIDE AVE STE 4117, SPOKANE, WA 99201-0580
(206) 531-7844
(503) 386-3252
Mailing address
522 W RIVERSIDE AVE STE 4117, SPOKANE, WA 99201-0580
(206) 531-7844
(503) 386-3252
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61085917
STATE LICENSE
WA
Enumeration date
04/16/2022
Last updated
04/16/2022
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