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Individual

LAUREN LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2621 NE 134TH ST STE 300, VANCOUVER, WA 98686-3036
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125067063
IL
207Y00000X
Otolaryngology Physician
Primary
MD61065110
WA

Other

Enumeration date
06/18/2015
Last updated
03/28/2023
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