Most Relevant Information
Provider Data
| NPI Number: | 1003498510 |
| Provider Name: | PETER LAWRENCE LOEFFLER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2021 |
| Last Updated: | 09/21/2022 |
Provider Practice Location
624 E FRONT AVE
SPOKANE
WA
992022139
Practice Location Phone/Fax
| Phone: | 5096269900 |
| Fax: | 5096269917 |
Provider Mailing Location
14208 S SHOREVIEW DR
MEDICAL LAKE
WA
990229346
Provider Mailing Phone/Fax
| Phone: | 5092638792 |
| Fax: |