Lawrence, Jay A

Lawrence, Jay A is an individual health care provider with primary practice located at 1010 Sheridan St Suite 201, Port Townsend WA 98368-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lawrence, Jay A can be contacted via phone (360) 385-5444.

Contact Information

Primary practice address
1010 Sheridan St Suite 201 Port Townsend WA 98368-2901
Fax: (360) 385-5352
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OP00001417 Washington

Profile Details

NPI number 1659455095
LBN Legal business name Lawrence, Jay A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 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 1659455095 NPPES
Washington MEDICAID 1083799

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