Organization
PNW WOUND SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAINT LORENZO (OWNER)
(509) 701-7014
Entity
Organization
Contact information
Practice address
12925 E MANSFIELD AVE APT S106, SPOKANE VALLEY, WA 99216-5155
(509) 701-7014
Mailing address
12925 E MANSFIELD AVE APT S106, SPOKANE VALLEY, WA 99216-5155
(509) 701-7014
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
06/09/2025
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