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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIBERTY LAKE FAMILY & SPORTS MEDICINE, P.S.

Active Organization

LIBERTY LAKE FAMILY & SPORTS MEDICINE, P.S. is a Sports Medicine organization located in LIBERTY LAKE, Washington. NPI 1043407935 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · LIBERTY LAKE, WA

Registration Details

NPI Number
1043407935
Provider Type
Organization
NPI Issued
Sep 25, 2007 (18.929125651931 yrs)
Last Updated
Oct 4, 2011
License
601991291 (WA)

Practice Information

Address
2207 N MOLTER RD
STE 101
LIBERTY LAKE, WA, 990197571
Browse WA providers · Browse ZIP 99019
Phone
5099217755
Primary Specialty
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.