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Individual

JOHN F LORANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
551 E HAWTHORNE RD, SPOKANE, WA 99218-1417
(509) 489-2369
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 489-2369

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA10004132
WA
363A00000X
Physician Assistant
Primary
PA10004132
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093083
WA
05
1891814455
MT
05
1891814455
WA
01
G8898903
MEDICARE
Enumeration date
03/28/2007
Last updated
05/25/2021
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