Individual
DR. LAWRENCE HAYES ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 892-9664
(360) 892-9667
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00044499
WA
2085R0202X
Diagnostic Radiology Physician
MD00044499
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016838
—
WA
Enumeration date
04/06/2006
Last updated
03/08/2021
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