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Individual

MR. LAWRENCE RODNEY AMBURGY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.P

Contact information

Practice address
627 5TH ST, SUITE 200, MUKILTEO, WA 98275-1580
(425) 355-8834
Mailing address
1828 CEDAR ST, EVERETT, WA 98201-2153
(425) 355-8834

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00011279
WA

Other

Enumeration date
04/17/2011
Last updated
04/17/2011
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