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Contact Information

LAWRENCE LARSON, DO
316 MARTIN LUTHER KING JR WAY
212
TACOMA, WA98405
 Phone: 253-383-5777
 Fax: 253-627-0855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAWRENCE LARSON · (Male)

NPI Number 1306932488
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/05/2006
Last updated 09/21/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OP00000821
  • WA Medicaid 10255717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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