Individual
MS. DIANA LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
210 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3369
(360) 606-6216
Mailing address
PO BOX 2429, VANCOUVER, WA 98668-2429
(360) 606-6216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016084
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PINDULI123
NPI
WA
Enumeration date
03/12/2008
Last updated
03/12/2008
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