Individual
MR. LAWRENCE EDWARD HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Mailing address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002269
WA
2251X0800X
Orthopedic Physical Therapist
PT00002269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189664
DEPT OF LABOR & INDUSTRY
WA
05
—
2009197
—
WA
01
—
4531957
AETNA
—
Enumeration date
09/26/2006
Last updated
04/22/2021
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