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Individual
LAWRENCE C RAINEY
Active
Individual
LAWRENCE C RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039586
LABOR & INDUSTRIES
WA
01
—
069741075
GROUP HEALTH
WA
01
—
JA1697
INDIVIDUAL BLUE SHIELD
WA
01
—
US0862238
AETNA SPECIALIST NUMBER
WA
Enumeration date
08/10/2006
Last updated
08/29/2011
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