Larson, Lawrence
Larson, Lawrence is an individual health care provider with primary practice located at 316 Martin Luther King Jr Way 212, Tacoma WA 98405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Larson, Lawrence can be contacted via phone (253) 383-5777.Contact Information
Primary practice address
316 Martin Luther King Jr Way 212
Tacoma WA 98405
Phone: (253) 383-5777
Fax: (253) 627-0855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | OP00000821 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | OP00000821 | Washington |
Profile Details
| NPI number | 1306932488 |
|---|---|
| LBN Legal business name | Larson, Lawrence |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 21st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306932488 | NPPES |
| Washington | MEDICAID | 10255717 |
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