Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A144054 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD61033015 | WA |
NPI | 1235525247 |
---|---|
Provider Name | Dr. Lawrence Henry Goodnough |
First Address | Seattle, WA 98145-5095 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2015 |
Last Update Date | 03/09/2021 |