Leslie E Waters in Liberty Lake - Family Medicine

Leslie E Waters - NPI 1174511208

Leslie E Waters is a Family Medicine in Liberty Lake, Washington. Leslie E Waters practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Leslie E Waters is 1174511208. The last update date is 2021-04-28.

Leslie E Waters's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 8667472455 and fax number 5099449644. The mailing address for Leslie E Waters is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie E Waters
Address Po Box 421, Liberty Lake, Washington
Phone Number 8667472455
Fax Number 5099449644
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1174511208
Provider Enumeration Date 2005-10-12
Last Updated Date 2021-04-28

Provider Mailing Address Detail

Address Po Box 421
City Liberty Lake
State Washington (WA)
Post Code 990190421
Phone Number 8667472455
Fax Number 5099449644

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD00025469
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8924162 L & I CRIME VICTIMS
50517 L & I
8303893 WA --

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FAQs about Leslie E Waters

What is the unique 10-digit identifier code issued to Leslie E Waters by the Centers for Medicare & Medicaid Services?

The Leslie E Waters has been assigned the NPI (National Provider Identifier) 1174511208 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Leslie E Waters's physical address?

The Leslie E Waters is physically located at Po Box 421, in the city of Liberty Lake, WA, with the postal code 990190421.

What is Leslie E Waters's specialized field of practice, and what is the corresponding taxonomy classification code?

The Leslie E Waters's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174511208 to Leslie E Waters?

The Centers for Medicare & Medicaid Services originally issued the 1174511208 to Leslie E Waters on 2005-10-12.

As of what date were the details related to Leslie E Waters most recently updated or revised?

The information pertaining to Leslie E Waters, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-28.

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