OrganizationActive
Inclusa Health and Wellness PLLC
NPI 1891464905 · Obesity Medicine (Obstetrics & Gynecology) Physician · Liberty Lake, WA
Provider details
- NPI number
- 1891464905
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Persondek, Member(208) 755-6731
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
23403 E Mission Ave Ste 231
Liberty Lake, WA 99019-5087
Phone: (509) 367-4209
Approximate (ZIP-level) locationGet directions
Mailing address
21600 E Meriwether Ln
Liberty Lake, WA 99019-7629
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.