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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306932488 NPPES
Washington MEDICAID 10255717

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