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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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