Individual
WAYNE TENNEY LAMOREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1204 N VERCLER RD, SUITE 201, SPOKANE VALLEY, WA 99216-1020
(509) 228-1000
(509) 252-9300
Mailing address
PO BOX 3868, SPOKANE, WA 99220-3868
(509) 228-1000
(509) 252-9300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
M-12234
ID
2085R0001X
Radiation Oncology Physician
Primary
MD00044645
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010151249
BLUE SHIELD OF IDAHO
—
01
—
0195424
LABOR & INDUSTRIES
WA
01
—
7403749
AETNA
—
01
—
7627LA
ASURIS NW HEALTH PLAN
—
05
—
807181200
—
ID
05
—
8421562
—
WA
01
—
KAE01
BLUE CROSS OF IDAHO
—
01
—
P00236986
RAILROAD MEDICARE
—
Enumeration date
10/19/2005
Last updated
03/24/2017
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