Individual
HARLAN LAYNE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
833 FRONT ST, SUITE 46, LEAVENWORTH, WA 98826-1378
(509) 860-1732
Mailing address
PO BOX 686, LEAVENWORTH, WA 98826-0686
(509) 860-1732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019966
WA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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