Individual
LAWRENCE R HAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6526
(425) 225-2700
(425) 225-2790
Mailing address
12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6526
(425) 225-2700
(425) 225-2790
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00024244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075983
LABOR AND INDUSTRY
WA
01
—
060062231
RAILRAOD MEDICARE
WA
05
—
8105744
—
WA
01
—
MD00024244
STATE LICENSE NUMBER
WA
Enumeration date
06/07/2006
Last updated
05/02/2013
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