Provider Demographics
NPI:1255592937
Name:MCLAUGHLIN, CRYSTAL SPRING (LMP)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:SPRING
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 VALLEY MALL PKWY
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4402
Mailing Address - Country:US
Mailing Address - Phone:509-886-0559
Mailing Address - Fax:509-886-0559
Practice Address - Street 1:920 VALLEY MALL PKWY
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-4402
Practice Address - Country:US
Practice Address - Phone:509-886-0559
Practice Address - Fax:509-886-0559
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021651174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist