Organization
HEALTHY LIVING LIBERTY LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LYNN ASHLEY M.D. (OWNER)
(509) 924-6199
Entity
Organization
Contact information
Practice address
2207 N MOLTER RD, STE 203, LIBERTY LAKE, WA 99019-7570
(509) 924-6199
(509) 891-9806
Mailing address
2207 N MOLTER RD, STE 203, LIBERTY LAKE, WA 99019-7570
(509) 924-6199
(509) 891-9806
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD00028821
WA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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