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Contact Information

LORENA M DE LA ROSA
22820 E APPLEWAY AVE STE A
LIBERTY LAKE, WA99019
 Phone: 509-220-3048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LORENA M DE LA ROSA · (Female)

NPI # 1194201533
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2018
Last updated 08/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP60869331
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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