Individual
LAVONNIE JEAN MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
901 N MONROE ST STE 200, SPOKANE, WA 99201-2148
(509) 413-2950
(509) 241-1866
Mailing address
901 N MONROE ST STE 200, SPOKANE, WA 99201-2148
(509) 413-2950
(509) 241-1866
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61166996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG61166996
—
WA
Enumeration date
10/01/2021
Last updated
10/01/2021
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