Individual
JAY A LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 SHERIDAN ST, SUITE 201, PORT TOWNSEND, WA 98368-2901
(360) 385-5444
(360) 385-5352
Mailing address
1010 SHERIDAN ST, SUITE 201, PORT TOWNSEND, WA 98368-2901
(360) 385-5444
(360) 385-5352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OP00001417
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083799
—
WA
Enumeration date
10/24/2006
Last updated
07/08/2007
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