Individual
GARY LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17916 TALBOT RD S, RENTON, WA 98055-7911
(425) 228-8880
(425) 277-5812
Mailing address
PO BOX 350, MAPLE VALLEY, WA 98038-0350
(425) 358-0956
(877) 481-6931
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA00000366
WA
237700000X
Hearing Instrument Specialist
HAS-P 195064
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031078
—
WA
Enumeration date
05/18/2006
Last updated
08/01/2016
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