Organization

La Lune Integrative Psychiatry Pllc

Psychiatric/Mental Health Nurse Practitioner in Spokane, WA(View on Map)

Legal Business Name

La Lune Integrative Psychiatry Pllc

NPI Number

1457094575

NPI Type

Organization

Enumeration Date

04/16/2022

Specialties

(Taxonomies)

Code

363LP0808X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

522 W RIVERSIDE AVE STE 4117
522 W RIVERSIDE AVE STE 4117

City

Spokane
Spokane

State

WA
WA

Postal Code

99201-0580
99201-0580

Country

US
US

Telephone Number

(206) 531-7844
(206) 531-7844

Authorized Official

Name

Ms. Elita Wong

Title or Position

OWNER, NURSE PRACTITIONER

Telephone Number

(206) 531-7844

Identifiers

Identifier

AP61085917

Identifier State

WA

Identifier Issuer

STATE LICENSE

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

joinlalune.com

Endpoint Description

HIPAA compliant application

Use

Direct

Content Type

Other

Other Description:
HIPAA compliant application

Affiliation

N

Endpoint Location

522 W Riverside Ave Ste 4117Spokane, WA992010580US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/16/2022

Provider Address

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