Individual
LAWRENCE COOPER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2980 SQUALICUM PKWY, SUITE 304, BELLINGHAM, WA 98225-1880
(360) 647-3377
(360) 752-3214
Mailing address
2980 SQUALICUM PKWY, SUITE 304, BELLINGHAM, WA 98225-1880
(360) 647-3377
(360) 752-3214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00036764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50062634
MEDICARE RR
WA
05
—
8237331
—
WA
Enumeration date
07/26/2006
Last updated
01/29/2013
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