Individual
MR. CHARLES M LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
614 S 225TH ST, DES MOINES, WA 98198-6843
(206) 878-2225
(206) 878-7488
Mailing address
614 S 225TH ST, DES MOINES, WA 98198-6843
(206) 878-2225
(206) 878-7488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2398
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2398
WA STATE LICENSE NUMBER
WA
01
—
60683
DEPT. OF L&I NUMBER
WA
Enumeration date
03/26/2007
Last updated
07/08/2007
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