Individual
DR. LAWRENCE LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9424 VETERANS DRIVE SW, LAKEWOOD, WA 98498-1163
(253) 589-4625
(253) 581-6329
Mailing address
9424 VETERANS DRIVE SW, LAKEWOOD, WA 98498-1163
(253) 589-4625
(253) 581-6329
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OP00001467
WA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
OP00001467
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11110197
—
WA
Enumeration date
12/11/2006
Last updated
09/11/2025
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