Individual
LAWRENCE A. KLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 325-2800
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019170
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080057572
MEDICARE RAILROAD
WA
05
—
8449407
—
WA
Enumeration date
03/02/2007
Last updated
09/04/2009
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