Individual
DR. LARRY J. HARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 GROVER ST, SUITE D1, LYNDEN, WA 98264-1539
(360) 354-1333
(360) 354-5399
Mailing address
709 W ORCHARD DR, SUITE 4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027434
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128915
LABOR & INDUSTRIES (REG)
WA
01
—
080147957
RAILROAD MEDICARE
WA
01
—
423898006
GROUP HEALTH COOPERATIVE
WA
01
—
45917
REGENCE BLUESHIELD
WA
05
—
8117749
—
WA
01
—
8925026
LABOR & INDUSTRIES (CV0
WA
Enumeration date
06/08/2006
Last updated
06/15/2015
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