Organization
LAWRENCE S. EASTBURN, MD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE STEPHEN EASTBURN MD (PRESIDENT)
(509) 747-0845
Entity
Organization
Contact information
Practice address
507 S WASHINGTON ST, SUITE 170, SPOKANE, WA 99204-2608
(509) 747-0845
(509) 747-0492
Mailing address
507 S WASHINGTON ST, SUITE 170, SPOKANE, WA 99204-2608
(509) 747-0845
(509) 747-0492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7136542
—
WA
Enumeration date
04/04/2007
Last updated
02/19/2008
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