Provider Demographics
NPI:1891882106
Name:FREER, LUANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LUANNE
Middle Name:
Last Name:FREER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 U AVE
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-1634
Mailing Address - Country:US
Mailing Address - Phone:406-836-0390
Mailing Address - Fax:
Practice Address - Street 1:3201 COMMERCIAL AVE STE B
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2761
Practice Address - Country:US
Practice Address - Phone:406-836-0390
Practice Address - Fax:800-273-9873
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7765207P00000X
WAMD.61374590208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3502642Medicaid
10521OtherBCBS MT
E85235Medicare UPIN
71166Medicare ID - Type Unspecified