Individual
MR. LAWRENCE CEDETTE LITTLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N MEDCALF LN, MONTESANO, WA 98563-1318
(360) 249-2273
Mailing address
1201 N FAIRFIELD ST, ABERDEEN, WA 98520-3018
(360) 637-8947
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OC60264322
WA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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