Individual
LONI MARIE SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
320 N CHELAN AVE, WENATCHEE, WA 98801-2107
(509) 663-5244
(509) 664-6508
Mailing address
1005 DOWNS RD, WENATCHEE, WA 98801-9630
(253) 222-0392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016366
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213594
L&I
WA
01
—
7935473
AETNA
WA
Enumeration date
06/11/2007
Last updated
07/08/2007
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