Provider Demographics
NPI:1558092742
Name:PAULA LANTSBERGER MD PLLC
Entity type:Organization
Organization Name:PAULA LANTSBERGER MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANTSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-993-4714
Mailing Address - Street 1:912 E DONEGAL AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-6220
Mailing Address - Country:US
Mailing Address - Phone:509-993-4714
Mailing Address - Fax:509-537-0485
Practice Address - Street 1:316 W BOONE AVE STE 268
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2346
Practice Address - Country:US
Practice Address - Phone:509-993-4714
Practice Address - Fax:509-537-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0433841OtherLABOR AND INDUSTRIES
WA0416671OtherLABOR AND INDUSTRIES