Individual
LAWRENCE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-1023
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61562265
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD61562265
WA
207RX0202X
Medical Oncology Physician
MD61562265
WA
Other
Enumeration date
04/13/2006
Last updated
07/25/2024
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