Individual provider · Type 1 NPI

Alexei V. Lissounov, MD

Student in an Organized Health Care Education/Training Program · Spokane, WA

NPI number 1114280153 Active

Practice location

104 W 5th Ave Ste 200W
Spokane, WA 99204-4803

Call (509) 744-3750 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114280153

Alexei V. Lissounov, MD's National Provider Identifier is 1114280153, issued on Jun 22, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spokane, WA. The record was last updated on Jun 22, 2012.