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Individual

DR. LORA LEE JASMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
20 EAST J. STREET, DEER PARK, WA 99006
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16205
OR
207R00000X
Internal Medicine Physician
M-9488
ID
207R00000X
Internal Medicine Physician
Primary
MD00045143
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136364
OMAP, OREGON HEALTH PLAN
OR
05
8493678
WA
Enumeration date
09/21/2006
Last updated
01/10/2012
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