Lariosa, Marietta L

Lariosa, Marietta L is an sole proprietor health care provider with primary practice located at 107 S Division St , Spokane WA 99202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Lariosa, Marietta L can be contacted via phone (509) 838-4651.

Contact Information

Primary practice address
107 S Division St Spokane WA 99202
Fax: (509) 363-2762
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00030181 Washington

Profile Details

NPI number 1689656282
LBN Legal business name Lariosa, Marietta L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated May 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689656282 NPPES
Washington MEDICAID 8142069

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