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NPI Profile for ST LAWRENCE LLC in PORT TOWNSEND, WA.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Public Health & General Preventive Medicine |
2083P0901X | 84 | Physician/Preventive Medicine |
| NPI Number | 1295499309 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/25/2021 | |
| Last updated | 10/25/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ST LAWRENCE LLC
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ST LAWRENCE LLC