Individual
LAWRENCE STEPHEN EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 FORT ST, NEAH BAY, WA 98357-4003
(360) 645-2233
Mailing address
PO BOX 410, NEAH BAY, WA 98357-0410
(360) 645-2233
(360) 645-2723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149422
REGENCE BLUE SHIELD OF ID
WA
01
—
0143577
LABOR & INDUSTRIES
WA
01
—
202124409
TRICARE
WA
01
—
4409EA
ASURIS NORTHWEST
WA
05
—
8253726
—
WA
01
—
911216033
TAX ID
WA
01
—
H19217
STERLING OPTION ONE
WA
01
—
KY985
BLUE CROSS OF ID
WA
01
—
P00222485
MEDICARE RAILROAD
WA
Enumeration date
04/28/2006
Last updated
10/10/2025
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