Individual
LAWRENCE WAYNE SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34709 9TH AVE S STE B500, FEDERAL WAY, WA 98003-6789
(253) 835-8800
Mailing address
34709 9TH AVE S STE B500, FEDERAL WAY, WA 98003-6789
(253) 835-8800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00012944
WA
207X00000X
Orthopaedic Surgery Physician
Primary
MD00012944
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16167
DEPT OF L&I
WA
05
—
2005785
—
WA
01
—
DB1622
MEDICARE UNSPECIFIED
WA
Enumeration date
07/12/2005
Last updated
01/18/2021
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