Organization
PEDIATRICS NORTHWEST PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A LARSON DO (PRESIDENT)
(253) 383-5777
Entity
Organization
Contact information
Practice address
316 MARTIN LUTHER KING JR WAY, #212, TACOMA, WA 98405
(253) 383-5777
(253) 627-0855
Mailing address
316 MARTIN LUTHER KING JR WAY, #212, TACOMA, WA 98405
(253) 383-5777
(253) 383-5320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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