Individual
WEST G LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 RAINIER AVE S, SEATTLE, WA 98144-6954
(206) 331-2662
Mailing address
10808 11TH AVE SW, SEATTLE, WA 98146-2117
(206) 331-2662
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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