Individual
LAWRENCE HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3240 14TH AVE NW, OLYMPIA, WA 98502-8509
(360) 866-7990
Mailing address
PO BOX 11789, OLYMPIA, WA 98508-1789
(360) 866-7990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003925
WA
Other
Enumeration date
04/25/2006
Last updated
11/05/2013
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