Individual
GRETCHEN W LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3016 E 57TH AVE, SUITE 27, SPOKANE, WA 99223-7036
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00048015
WA
Other
Enumeration date
06/25/2006
Last updated
12/01/2011
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