Organization
SPOKANE UROLOGY PLLC
Active
Other names
Spokane Urology, PS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND LANCE M.D. (PRESIDENT)
(509) 747-3147
Entity
Organization
Contact information
Practice address
1401 E TRENT AVE STE 200, SPOKANE, WA 99202-2902
(509) 747-3147
(509) 622-2704
Mailing address
PO BOX 738288, DALLAS, TX 75373-8288
(509) 747-3147
(509) 622-2704
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/25/2006
Last updated
10/29/2024
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