Lawrence, Augustine Hicks

Lawrence, Augustine Hicks is an individual health care provider with primary practice located at 1412 Sw 43Rd St Suite 200, Renton WA 98055-4803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lawrence, Augustine Hicks can be contacted via phone (425) 271-4910.

Contact Information

Primary practice address
1412 Sw 43Rd St Suite 200 Renton WA 98055-4803
Fax: (425) 264-1041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00037577 Washington

Profile Details

NPI number 1235168188
LBN Legal business name Lawrence, Augustine Hicks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235168188 NPPES
Washington MEDICAID 8243818

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