Organization
FAMILY MEDICINE LIBERTY LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LYNN ASHLEY MD (OWNER)
(509) 720-4050
Entity
Organization
Contact information
Practice address
2207 N MOLTER RD, SUITE 203, LIBERTY LAKE, WA 99019-7570
(509) 928-6700
Mailing address
2207 N MOLTER RD, SUITE 203, LIBERTY LAKE, WA 99019-7570
(509) 928-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00028821
WA
Other
Enumeration date
11/24/2009
Last updated
04/30/2015
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