# WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154479327
- **Authorized official:** DR. LAWRENCE MICHAEL MAURER D.P.M. (PODIATRIST)
- **Authorized official phone:** (425) 899-3234

## Contact information

- **Practice address:** 12911 120TH AVE NE STE C50, KIRKLAND, WA 98034-3080
- **Practice address phone:** (425) 899-3234
- **Practice address fax:** (425) 899-3235
- **Mailing address:** 12707 120TH AVE NE, SUITE 206, KIRKLAND, WA 98034-7500
- **Mailing address phone:** (425) 899-3234
- **Mailing address fax:** (425) 899-3235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | PO710 | WA | Yes |

## Other

- **Enumeration date:** 01/06/2007
- **Last updated:** 07/21/2020