Organization Active NPI

Center for Lifestyle Medicine and Hormone Health PS

  • Specialist
  • Spokane, WA
National Provider Identifier
1265456644
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00042914 Issued in WA
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

Updated by the provider on Jul 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisanne G Laurier, MDNPI 1912999327
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20061107000304 WA Part B Supplier - Clinic/Group Practice 0143227009 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.