Individual
LAWRENCE COREY
Active
Individual
LAWRENCE COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00014698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230916
L&I
WA
01
—
1719
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
1932285723
—
WA
Enumeration date
10/27/2006
Last updated
12/16/2011
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