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Individual
LAWRENCE EDMOND MULKERIN
Active
Individual
LAWRENCE EDMOND MULKERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00017662
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1809904
—
WA
01
—
71990
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
07/08/2007
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