Individual
LAWRENCE NICHOLAS CETRULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133
(206) 520-5700
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2017-01459
NC
208600000X
Surgery Physician
Primary
MD60864136
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629330386
—
WA
Enumeration date
06/08/2012
Last updated
07/26/2018
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