Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD00037532 | WA |
NPI | 1174549505 |
---|---|
Provider Name | Dr. Laurie Jean Mercier |
First Address | Spokane Valley, WA 99016 |
Second Address | Sammamish, WA 98029-5828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 28/05/2020 |