Lavine, Lawrence
Lavine, Lawrence is an individual health care provider with primary practice located at 9424 Veterans Drive Sw , Lakewood WA 98498-1163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Lavine, Lawrence can be contacted via phone (253) 589-4625.Contact Information
Primary practice address
9424 Veterans Drive Sw
Lakewood WA 98498-1163
Phone: (253) 589-4625
Fax: (253) 581-6329
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | OP00001467 | Washington |
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | OP00001467 | Washington |
Profile Details
NPI number | 1275693343 |
---|---|
LBN Legal business name | Lavine, Lawrence |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275693343 | NPPES |
Washington | MEDICAID | 11110197 |
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