Larson, Wayne
Larson, Wayne is an individual health care provider with primary practice located at 6210 75Th St W Suite A-200, Lakewood WA 98499-8303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Larson, Wayne can be contacted via phone (253) 581-2261.Contact Information
Primary practice address
6210 75Th St W Suite A-200
Lakewood WA 98499-8303
Phone: (253) 581-2261
Fax: (253) 582-7310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00016569 | Washington |
Profile Details
NPI number | 1679792881 |
---|---|
LBN Legal business name | Larson, Wayne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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