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Direct Primary Care
Family Medicine

Lilac Direct Primary Care

Quick Facts

Membership Price RangeChild (Ages 0-17): $45/mo with adult membership, $65/mo without adult membership | Adult (Ages 18+): $125/mo | Full Time College Student: $80/mo | Family Package (2 adults + up to 3 dependents): $315/mo, each additional family member 10% off regular individual price
Practice TypeDirect Primary Care
LocationSpokane
DoctorsJulie Rietze MD, Family Medicine
Telehealth TypePhone and video visits
Telehealth AvailableYes

About

At Lilac Direct Primary Care, Dr. Julie Rietze delivers full-spectrum family medicine to patients of all ages in Spokane, Washington. She founded the practice on a simple conviction: put people over profits and ensure every patient gets the care they need. Her monthly membership covers unlimited office visits, discounted labs, and discounted medications at wholesale cost.

Visits run 45 minutes on average, and Dr. Rietze guarantees access within two business days. She answers the phone directly, with no phone tree or answering service between patients and their doctor. The practice also hosts a monthly Walk with a Doc event on the third Saturday of each month at a local Spokane park. A Pay It Forward fund helps patients who need assistance with membership costs.

Details

Address

316 W Boone Ave, Suite 770, Spokane, WA 99201

Membership

$125/monthly

Membership Details

Monthly membership fee covers unlimited office visits, discounted prices for labs and medications, extended office visits (30-60 minutes), and direct communication with Dr. Rietze via email, text, or phone. No insurance billed.

Typical Appointment

45 minutes

Telemedicine

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Frequently Asked Questions

Adult membership at Lilac Direct Primary Care costs $125 per month. Child memberships run $45 per month with an adult membership, or $65 per month without one. Full-time college students pay $80 per month. A family package covering two adults and up to three dependents costs $315 per month, with 10% off for each additional family member.

The monthly fee covers unlimited office visits, extended appointments of 30 to 60 minutes, direct communication with Dr. Rietze by phone, text, email, and video chat, and access to discounted labs and medications at wholesale cost. The practice does not bill insurance for any of these services.

Lilac Direct Primary Care offers labs and medications well below standard retail prices. A CBC runs $3, a CMP $4, a TSH $5, a lipid panel $4, and an HbA1c $6. Common medications follow the same pattern: Atorvastatin 40mg for 90 tablets costs $6, and Losartan 100mg for 90 tablets costs $10.

Lilac Direct Primary Care guarantees access within two business days. Dr. Rietze also offers telemedicine visits by phone or video for situations that do not require an in-person exam.

The practice recommends that members carry insurance for services outside primary care, including hospitalizations, surgeries, emergency visits, specialist consultations, and imaging. The monthly membership covers primary care only and does not replace insurance for those other needs.

No. Lilac Direct Primary Care does not accept or bill any insurance. Patients pay the monthly membership fee directly to the practice. This keeps the relationship simple and direct between patient and physician.

Dr. Rietze hosts a free Walk with a Doc event on the third Saturday of every month at 9am at a local Spokane park. Friends and family are welcome to attend. The practice has partnered with Grouper to compensate Medicare Advantage patients for joining the walks.

Yes. Dr. Rietze offers virtual care by phone and video. Patients can schedule telehealth visits through the patient portal or reach Dr. Rietze directly through the Spruce App for secure messaging.

Yes. Lilac Direct Primary Care maintains a Pay It Forward fund to help patients who need assistance covering membership costs and other fees. Patients can ask Dr. Rietze directly for more information.

Lilac Direct Primary Care does not provide obstetric or prenatal care. The practice also does not prescribe or dispense opioids on a chronic basis or prescribe chronic benzodiazepines.

Practice last updated April 10, 2026