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Individual

HARRY LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
217 W CATALDO AVE, SPOKANE, WA 99201-2217
(509) 747-6194
(509) 838-0824
Mailing address
PO BOX 2242, SPOKANE, WA 99210-2242
(509) 747-6194
(509) 838-0824

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60479644
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2039962
WA
01
331179
LABOR & INDUSTRIES
WA
Enumeration date
08/12/2014
Last updated
11/12/2021
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