NPI 1477622629

Harlan Layne Sheppard, LMP

Practitioner Specialist Leavenworth, WA

Practice location

Address: 833 Front St Suite 46, Leavenworth, WA 98826-1378
Phone: (509) 860-1732
Mailing address: PO Box 686, Leavenworth, WA 98826-0686

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00019966 (WA)

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Registry record

NPI: 1477622629
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.