Individual
DR. LAWRENCE SOO-YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301082255
MI
2085R0202X
Diagnostic Radiology Physician
MD162228
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60006965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239075
LABOR AND INDUSTRIES-TRA
WA
01
—
0239076
LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
WA
01
—
0249563
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
WA
01
—
8948507
LABOR AND INDUSTRIES CRIME VICTIMS-TRA
WA
01
—
8951845
LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
WA
Enumeration date
03/21/2007
Last updated
08/30/2024
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