Liberty Lake Family & Sports Medicine, P.S.

LBN: Liberty Lake Family & Sports Medicine, P.S.
Liberty Lake Family & Sports Medicine, P.S. is an health care organization with primary practice located at 2207 N Molter Rd Ste 101, Liberty Lake WA 99019-7571. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Liberty Lake Family & Sports Medicine, P.S. can be contacted via phone (509) 921-7755, or through Manson, Timothy via phone (509) 921-7755.

Contact Information

Primary practice address
2207 N Molter Rd Ste 101 Liberty Lake WA 99019-7571
Phone: (509) 921-7755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manson, Timothy
Phone: (509) 921-7755

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 601991291 Washington

Profile Details

NPI number 1043407935
LBN Legal business name Liberty Lake Family & Sports Medicine, P.S.
DBA Doing business as
Authorized official Manson, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Oct 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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