Individual
STACEY LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9330 59TH AVENUE SW, LAKEWOOD, WA 98499-6600
(253) 581-7020
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 581-7020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225700000X
Massage Therapist
MA00013047
WA
Other
Enumeration date
07/29/2011
Last updated
03/05/2013
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