Organization
WASHINGTON FOOT AND ANKLE SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MICHAEL MAURER D.P.M. (PODIATRIST)
(425) 899-3234
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE STE C50, KIRKLAND, WA 98034-3080
(425) 899-3234
(425) 899-3235
Mailing address
12707 120TH AVE NE, SUITE 206, KIRKLAND, WA 98034-7500
(425) 899-3234
(425) 899-3235
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
PO710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144210287
PRACTITIONER NPI
WA
01
—
1982683322
PRACTITIONER NPI
WA
Enumeration date
01/06/2007
Last updated
07/21/2020
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