Lawrence J Greenblatt X
Family Doctor - Sports Medicine
1407 116th Ave Ne Ste 102
Bellevue
, Washington 98004-3819
Lawrence J Greenblatt X
Family Doctor - Sports Medicine
1407 116th Ave Ne Ste 102
Bellevue
, Washington 98004-3819
(425) 637-0636
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Lawrence J Greenblatt X
- 1407 116th Ave Ne Ste 102
- Bellevue, WA
- Zip : 98004-3819
- Phone : (425) 637-0636
Second Address
- Lawrence J Greenblatt X
- 1407 116th Ave Ne Ste 102
- Bellevue, WA
- Zip : 98004-3819
- Phone : (425) 637-0636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 791 | WA |
National Provider Identifier
| NPI | 1265450514 |
|---|---|
| Provider Name | Lawrence J Greenblatt X |
| First Address | Bellevue, WA 98004-3819 |
| Second Address | Bellevue, WA 98004-3819 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.