Individual
LAWRENCE EDMOND MULKERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF WASHINGTON MEDICAL CT, 1959 NE PACIFIC STREET, SEATTLE, WA 98195-0001
(206) 598-4000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00017662
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1809904
—
WA
01
—
71990
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
07/08/2007
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