Active NPI
Center for Lifestyle Medicine and Hormone Health PS
- Specialist
- Spokane, WA
National Provider Identifier
1265456644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00042914
- Legal business name
- CENTER FOR LIFESTYLE MEDICINE AND HORMONE HEALTH PS
- Practice address
- 907 S Perry St Ste 240
Spokane, WA 99202-3462 - Phone
- (509) 456-5433
- Fax
- (509) 456-3557
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisanne G Laurier, MD
- Title
- Dr.
- Phone
- (505) 456-5433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00042914 | WA | Primary |
Addresses
Primary practice location
907 S Perry St Ste 240
Spokane, WA 99202-3462
Mailing address
907 S Perry St Ste 240
Spokane, WA 99202-3462
Phone (509) 456-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
907 S Perry St
Ste 240
Spokane, WA 99202
Phone (509) 456-5433
907 S Perry St
Ste 24
Spokane, WA 99202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Spokane, WA
- NPI 1912999327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688774400000",
"number": "1265456644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 S PERRY ST STE 240",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023462",
"telephone_number": "509-456-5433",
"fax_number": "509-456-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S PERRY ST STE 240",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023462",
"telephone_number": "509-456-5433",
"fax_number": "509-456-3557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR LIFESTYLE MEDICINE AND HORMONE HEALTH PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A",
"authorized_official_last_name": "LAURIER",
"authorized_official_first_name": "LISANNE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "505-456-5433",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD00042914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.