Individual
LAWRENCE J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 S MERIDIAN, SUITE 101, PUYALLUP, WA 98371
(253) 848-3000
(253) 840-6514
Mailing address
1703 S MERIDIAN, SUITE 101, PUYALLUP, WA 98371
(253) 848-3000
(253) 840-6514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00019017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016989
—
WA
Enumeration date
08/12/2006
Last updated
01/26/2011
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