Provider Demographics
NPI:1003854910
Name:KLAHN, LORIE A (ARNP)
Entity Type:Individual
Prefix:
First Name:LORIE
Middle Name:A
Last Name:KLAHN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LORETTA
Other - Middle Name:A
Other - Last Name:KLAHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 3649
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-3649
Mailing Address - Country:US
Mailing Address - Phone:509-838-2531
Mailing Address - Fax:
Practice Address - Street 1:10414 W HIGHWAY 2
Practice Address - Street 2:SUITES 10 & 11
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-5348
Practice Address - Country:US
Practice Address - Phone:509-838-2531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00083388163W00000X
WAAP30002575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA166764OtherDEPT. OF L & I
WA9614835Medicaid
MK0142822OtherDEA
WA9614835Medicaid
P62150Medicare UPIN