Individual
DR. LAURI M COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00023971
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000648
—
WA
Enumeration date
10/03/2006
Last updated
05/31/2010
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