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Individual

LAURENCE E PERRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
406 BLACK HILLS LN SW STE C, OLYMPIA, WA 98502-8144
(360) 754-3380
Mailing address
406 BLACK HILLS LN SW STE C, OLYMPIA, WA 98502-8144
(360) 754-3380

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00020730
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1095413
WA
Enumeration date
08/23/2006
Last updated
07/08/2007
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