Individual
LEEANNA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(253) 203-8750
Mailing address
1320 E 57TH ST, TACOMA, WA 98404-2550
(253) 203-8750
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
1884
WA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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