Provider Demographics
NPI:1104957547
Name:LARKIN, LYUDMILA (LMT)
Entity type:Individual
Prefix:
First Name:LYUDMILA
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 E. VISTA LANE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99212
Mailing Address - Country:US
Mailing Address - Phone:509-216-6881
Mailing Address - Fax:509-924-0242
Practice Address - Street 1:8120 E. VISTA LANE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99212
Practice Address - Country:US
Practice Address - Phone:509-216-6881
Practice Address - Fax:509-924-0242
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00007784174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist