Provider Demographics
NPI:1518348440
Name:LENOUE INTEGRATIVE MEDICINE, PLLC
Entity Type:Organization
Organization Name:LENOUE INTEGRATIVE MEDICINE, PLLC
Other - Org Name:LENOUE CHIROPRACTIC & MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-328-9610
Mailing Address - Street 1:301 E SHARP AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1835
Mailing Address - Country:US
Mailing Address - Phone:509-328-9610
Mailing Address - Fax:509-328-5268
Practice Address - Street 1:301 E SHARP AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1835
Practice Address - Country:US
Practice Address - Phone:509-328-9610
Practice Address - Fax:509-328-5268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001977111N00000X
WAOP60393011207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty