Individual
LOREE KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2112 W MALLON AVE, SPOKANE, WA 99201-1660
(509) 326-2400
Mailing address
922 S COWLEY ST STE 1, SPOKANE, WA 99202-1263
(509) 714-2284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA602880776
WA
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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