Individual
DR. LAWRENCE ROBERT VIDRINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11367 BRIDGEPORT WAY SW, SUITE 217, LAKEWOOD, WA 98499-3004
(253) 985-6134
(253) 985-6137
Mailing address
3705 N ADAMS ST, TACOMA, WA 98407-6127
(253) 759-2134
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00022122
WA
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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