Provider Demographics
NPI:1528213279
Name:BIEM, LAURA (LAC DIPL OM)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:BIEM
Suffix:
Gender:F
Credentials:LAC DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15404 E SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037
Mailing Address - Country:US
Mailing Address - Phone:509-982-9800
Mailing Address - Fax:509-892-9998
Practice Address - Street 1:15404 E SPRINGFIELD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037
Practice Address - Country:US
Practice Address - Phone:509-892-9800
Practice Address - Fax:509-892-9998
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60048876171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist