Organization
WHIDBEY WOMEN'S HEALTH
Active
Other names
M Lucie Riederer MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LUCIE RIEDERER MD (OWNER/PHYSICIAN)
(360) 678-8308
Entity
Organization
Contact information
Practice address
201 NE BIRCH ST, COUPEVILLE, WA 98239-1470
(360) 678-8308
(360) 678-5604
Mailing address
201 BIRCH, PO BOX 1470, COUPEVILLE, WA 98239-1470
(360) 678-8308
(360) 678-5604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00027190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7093016
—
WA
01
—
GAB06366
MEDICARE GROUP #
WA
Enumeration date
09/28/2006
Last updated
04/04/2008
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