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Individual

MS. MARY LAWLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
427 S BERNARD ST # 200, SPOKANE, WA 99204-2509
(509) 456-8150
(509) 455-9887
Mailing address
427 S BERNARD ST # 200, SPOKANE, WA 99204-2509
(509) 456-8150
(509) 455-9887

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00092406
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30003785
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184617334
ID
05
1184617334
WA
01
171305
LABOR AND INDUSTRIES
WA
01
430030686
RAILROAD MEDICARE
WA
Enumeration date
08/23/2005
Last updated
11/06/2013
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