Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2680 | WA |
NPI | 1154451540 |
---|---|
Provider Name | Dr. George N Lawrence |
First Address | Port Angeles, WA 98362-3910 |
Second Address | Port Angeles, WA 98362-3910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 24/06/2008 |